Class 6 Lecture Misc Flashcards
The main motivation behind all violence/ abuse is….
Power & Control
Cycle of violence varies but has these 4 main themes
Tension building
Incident
Reconciliation
Calm
May have different names but same idea
Most common type of abuse
Neglect
80% of children who died from abuse are under _____ years old
4
Most common cause of injury to women…
Battery
Will the abused person ever “provoke” the abuser to hit them
Yes, to Get it over with
Parents are most likely to abuse a child.
Which parent is least likely to abuse
Biological father.
Mother & Step Dad abuse most
Average age for incest to begin?
How long does it last
6 years old
Last 7 years
Risk factors for a child to be abused…
<4 yrs old
Perceived as “Different “
Reminds parents of someone they don’t like / unwant3d pregnancy
Interference of emotional bonding between parent and child
Type of abuse that is the Common Denomination between other types of abuse
Financial
When are women at the greatest risk of being killed by their partner?
When leaving
Up to 2 years afterwards
Which words should you avoid when interviewing about Domestic violence/ child abuse?
Avoid: Beat, Violence, Abused
Use: Hurt
Nursing assessment consist of these areas….
SI / HI, Anxiety, Coping / family coping, support systems, SUD / AUD, Violence indicators
When should a nurse force a victim of abuse to remove their clothes?
Never
Why is a fractured bone in a patient <1 yrs old suspicious?
They are soft and don’t normally break their own bon3s
Which groups is a nurse a mandated reporter (2)
Children & vulnerable adults
VAWA purpose
Give abuses Men & Women
Housing, Green Cards, Protection under law from abusers
According to PowerPoint
Childhood abuse has these (2) common disorders later in life
Borderline
Eating disorders
Don’t give advice to victims of abuse give….
Resources
What factors set male sexual abuse apart from female…
Male >1 perpetrator & violence
Which racial group is most likely to be abused…
Multi racial & Native Americans
2 disorders common later in life with Incest Survivors…
Eating Disorders & Personality Disorders
What does SANE stand for?
Sexual Assult Nurse Examiner
Describe how to perform sexual assault assessment
Head to toe assessment
Detailed Genital assessment
Evidence collection, preservation, documention
Rape trauma syndrome is similar to which disorder
PTSD
After rape describe the time frame to conduct assessments
Initial
24 - 48 hrs
2, 4, 6 weeks afterwards
This type of advanced degree will conduct research & policies changes
PhD
Pregnancy is a risk factor for intimate partner abuse
T or F
T
Describe Older Adult most likely to be abused
> 75 yrs, female, white, living with abuser
Presents as:
Bulging fontanels
Retinal hemorrhage
CNS damage
Seizures
Vomiting
Coma /death
Shaken baby syndrome
Most likely cause of death from physical abuse
Implementation of treatment for Child Abuse….
1:1 outpatient therapy Not short term inpatient
Give resources for abuse survivors even if they don’t ask for them
T or F
T
Smaller and hideable the better
Rape trauma syndrome
Shock, fear, Anxiety, physical symptoms
PTSD, Depression, trust issues, reorganizing life after trauma.
Classify as acute or long-term
Acute
Shock, fear, Anxiety, physical symptoms
Long-term
PTSD, Depression, trust issues, reorganizing life after trauma.
Difference between Expert witness & Fact witness
Expert = SANE (Specialized training in medical & legal evaluations)
Fact = Can testify to what they know to be true ( A nurse testifying on her own documentation )
Rape trauma syndrome
Acute or Long-term
Lifestyle disorganized, Somatic symptoms, disruptions in cognitive, affective, and behavioral functions.
Intrusive thoughts, increased motor activity, Labile, fears and phobias
Acute
Lifestyle disorganized, Somatic symptoms, disruptions in cognitive, affective, and behavioral functions.
Long-term
Intrusive thoughts, increased motor activity, Labile, fears and phobias
For survivors to return to previous level of functioning they must: (3)
Fully mourn their loss
Experience anger
Work through their terrifying fears
Bridge the gap between healthcare and the legal field
Provide care to both victims and perps while collecting evidence.
Forensic nurse
Forensic Nurse Generalist vs Advanced practice nurse
Education & Training needed
Forensic Generalist: RN License & SANE certificate
Advanced practice nurse: PhD or Doctorate
DNP vs PhD
Forensic Nurse
DNP: Improvement of education, clinical practice, system management, nursing leadership
PhD: Conduct research in area of forensics to advance nursing science and to ultimately enhance the practice of forensic nursing
Legal test of sanity include… (2)
McNauhhton rule (must not know act is wrong)
Irresistible impulse: Knew act was wrong but could not control behavior
Guilty but mentally ill means….
Competence to proceed means….
Insanity defense, received treatment for their mental illness
Defendants present thinking at time of the trail
Cuddling Infants Articulo:
Cuddling infants changes epigenome how?
(3) sites
Immune system
Metabolic system
Aging of blood & tissues
