class 9 (interpersonal violence)

Question 1

9 types of violence

Answer 1

1.physical
2.sexual
3.emotional
4.psychological
5.spiritual
6.cultural
7.verbal
8.financial
9.neglect

Question 2

what is physical abuse

Answer 2

causing physical pain/bodily harm to a person

Question 3

what is sexual abuse

Answer 3

person forced/unwilling to participate in sexual activity

Question 4

what is emotional abuse

Answer 4

making someone feel belittled/worthless

Question 5

what is psychological abuse

Answer 5

using threats/coercion/causing fear to control another person

Question 6

what is spiritual abuse

Answer 6

using someones belief to manipulate/dominate another person

Question 7

what is cultural abuse

Answer 7

someone is harmed as a result of their own cultural beliefs

Question 8

what is verbal abuse

Answer 8

using language to cause harm to an individual

Question 9

what is financial abuse

Answer 9

exploiting/limiting access to funds of someone else for own personal gain

Question 10

what is neglect

Answer 10

failure to provide basic needs of an individual

Question 11

victim blaming

Answer 11

the vicim is often blamed for the abuse, fixing the problem does not mean shifting blame
-provide education+health promotion

Question 12

3 phases in the cycle of violence

Answer 12

3 phases: honeymoon->tension building->acue explosion
-stages often speed up as the level of violence increases

Question 13

why is breaking the cycle of violence so difficult

Answer 13

-honeymoon phase makes the victim feel/hope the abuse will never happen again

Question 14

denial within the cycle of violence

Answer 14

minimizing the abuse, acting as if it did not happen, or acting as if it will never happen again

Question 15

how the abuser may act during the honeymoon phase in the cycle of violence

Answer 15

-may take some responsibility, this gives the victim hope
-may pretend that nothing happened, the victim then thinks it wasn’t as bad as they thought
-attempt to draw the victim back
-apologize/beg
-give gifts/flowers
-declare love/cry/promise not to do it again

Question 16

how the victim may respond during the honeymoon phase in the cycle of violence

Answer 16

-may feel guilty/agree to stay
-hide bruises/marks
-return to abuser/attempt to stop legal proceedings
-set up counseling for abuser
-feel happy/hopeful

Question 17

how the abuser may act during the tension building phase in the cycle of violence

Answer 17

-violence often starts with an inimate object then progress to the victim
-may be moody, pitpicky, critical
-withdraws affection
-yell, drink, do drugs, threaten,detory property
-find faults in very minor things

Question 18

how does the tension building phase differ from other phases in the cycle of violence

Answer 18

-every case is different
-may last weeks,months,days
-differs in intensity

Question 19

how the victim may respond during the tension building phase

Answer 19

-attempts to calm partner
-nurturing
-silent talkative
-stays away from family and friends
-keeps children quiet
-agrees
-tries to reason
-feeling of walking on eggshells
-withdrawl from loved ones/social isolation
-anger that promises werent kept

Question 20

how the abuser acts during the acute explosion phase in the cycle of violence

Answer 20

-when the abuse actually takes place, a feeling of release from the tension building phase
-physical, verbal, sexual abuse
-appears calm after incident
-abuser makes choice about the type and time of abuse-they have the power
-abuser is unrationale, blames the victim, feels out of control & wants control back

Question 21

how the victim responds during acute explosion phase of cycle of violence

Answer 21

-protect’s self any way they ca
-police called by self, children, neighbour
-tries to calm batterer
-tries to reason
-fights
-feels trapped
-leaves
-terrified/often blames themselves
-ashamed/humiliated

Question 22

what is the ecological model of violence

Answer 22

a combination of factors that play that influence the risk of violence, but also have an impact on resiliency
-violence happens at all levels of society, risk factors are always the same at every level

Question 23

what is clare’s law (interpersonal violence disclosure protocol act)

Answer 23

allows people at risk to apply to get information regarding DV history about their partner

Question 24

why do people choose to stay in an abusive relationship?

Answer 24

-never ask this question, we have no right to judge and can’t tell someone what to do
- 3 main reasons: 1.cycle of violence 2.risk of leaving vs staying 3.violence is not always a priority(children, finances, no one/where else)
-instead ask how you can support

Question 25

nursing assessment for intimate partner violence

Answer 25

-signs of physical abuse
-sensitive to stimuli
-abuser speaks for them
-may not see anything
-appears to be in poor health
-symptoms of anxiety/depression/ptsd
-pt may be confused

Question 26

long term effects of violence

Answer 26

-depression
-SI
-inability to trust/develop intimate relationships
-poor self-esteem
-phobias
-antisocial behaviours
-failing grades
-running away from home
-flashbacks
-potential for future spousal or child abuse

Question 27

predictors of child mistreatment:

Answer 27

pregnant teen w/ no support, unwanted pregnancy/gender, unwanted physical disorder
soiled clothing
inadequate nutrition
inappropriate dress
unclean

Question 28

age range for protection in NL, ON/AB, NS

Answer 28

NL: 16 or less
ON&AB: 18 or less
NS: 19 or less

Question 29

types of child abuse

Answer 29

inadequate food/clothing/shelter/basic care
abdandonment
-brusing
injuries at different stages of healing
abdo wall injury
bite marks
petechiae
reddened cheeks
if story changes/doesnt match injury

Question 30

common sites of intentional injury in children

Answer 30

cheeks
ears
extremities
burns
spiral fracture

Question 31

evaluation of burns/fractures

Answer 31

scalding is most common: immersion in water
“glove/sock” burn lines on hands/feet
“donut-shaped” burn around anus from immersion
“splattering” burns in older children
zebra stripe effect: burns on skin folds->creates “stripes”
burns on hands/feet/bilateral: more likely to be accidental
-burns on inner thighs/groin

Question 32

physical indicators of sexual abuse

Answer 32

-young age pregnancy/STI
-bruising/bleeding from genitals
-bed wetting/fecal incontinence @ older age
-sexually aggressive behaviours/undressing inappropriately
-difficulty walking/sitting/standing
-sleep distrubance
-nervous around adults
-frozen behaviour

Question 33

red flags for child maltreatment during assessment of child

Answer 33

1.changes in story of what happened
2.injury is not consistent with age of child (i.e. fell of chair @7 months old)
3.delay in seeking medical treatment (i.e. wound is semi healed)

Question 34

child maltreatment documentation of finding

Answer 34

must be extremely detailed and accurate
-often used in court

Question 35

red flags for child maltreatment during assessment of caregiver

Answer 35

-nervous/fidgety
-inappropriate explanations for things
-unconcerned/dismissive “they’re fine”
-discrepancy: development age doesnt match, different stories from child/adult
-low self-esteem
-inappropriate punishment/viewing child as a “mini-adult”

Question 36

diagnostic evaluation for child maltreatment

Answer 36

Xray
MRI
CT
lab values (nutrition)
eye exam

Question 37

what is elder abuse

Answer 37

any act of failure to act withing a relationship where theres an expectation of trust that jeopardizes the health/wellbeing of an elder

Question 38

increased profile for risk in elders

Answer 38

75+
widowed
female
social isolation

Question 39

who is commonly the abuser in elder abuse

Answer 39

family member/caregiver

Question 40

how to address elder abuse with client

Answer 40

private convo away from family
be nonchalant
“how do you feel/whats going on at home”
dont put words in their mouth
“how can i help/support you?”

Question 41

Protecting Canada’s Seniors Act

Answer 41

can be used only if they LACK the capacity to make decisions for themselves

Question 42

human trafficking in canada

Answer 42

-physical violence, PTSD, SUD
-may need shelter, food, victim services, translator
-is happening