Domestic Violence Flashcards
who is typically the 1st point of contact for family violence
the nurse
forms of abuse/violence
emotional
physical
sexual
neglect
those who experience violence refer to themselves as
accident prone
what should nurses do for people presenting w/suspected violence
assess - physical hx, x-ray study, neuro exam
if preg. assess for rape
document verbal statements/physical findings
ask if photos can be taken
stress-related conditions seen in family violence
insomnia
nightmares
anxiety/fatigue
a tell-tale sign of domestic violence
explanation doesn’t match symptom
social learning theory for violence
children learn what they see, believe violence is the norm
social/cultural that may contribute to violence
social isolation
unemployment/poverty
what is the frustration-aggression hypothesis
frustration is response to stress in life - become aggressive
psychological fxrs r/t violence
personality traits drugs/alcohol = excuse low self-esteem impulse immature
abuser will sometimes argue this
loss of control - not supported by behavior
victims are chosen - abusers are deliberate
affects of violence is very damaging to who
children - (end up having behavior problems themselves and become abusers)
if children are abused what can nurses do
report - child and elder abuse - child protective svcs
the ldg cause of homelessness in women
IPV - intimate partner violence
characteristics of IPV - how does the battered partner feel
isolated - nowhere to go (financially/emotionally depend.) self medicating (req. trt)
characteristics of IPV batterer
appears well adjusted on outside
believes male supremacy
extremely jealous, possessive
blames alcohol/drugs (excuse)
***what are the 3 phases in the cycle of violence
tension-building
acute battering
honeymoon
what stage in the cycle of violence does the abused decide they are going to leave, the most dangerous stage
the honeymoon phase
why do abused partners stay
financially dependent depression may believe they did something wrong reinforced by the honeymoon stage for sake of kids
You are the ED triage nurse. Chloe, a 25 year old woman with torn clothing has bruising around her face and neck. She states that she fell from a ladder while hanging a picture on her wall. Chad, her husband, is agitated and pacing outside the triage area. Based on the following statement, what are your best actions?
Chloe is now being seen by the ED physician. Her husband, Chad, is quietly demanding to see his wife. As the triage nurse, what are your best actions?
A.Tell Chad that Chloe “is fine” but no room for visitors is provided.
B.Have staff members (e.g., physician, nurse, technician, assistant) make regular contact with Chad in the waiting room.
D.Move Chloe to secluded area in the ED so that you can interview her in private.
G.Advise Chloe of SAFE SHELTERS, and offer brochures.
Chloe leaves the ED after treatment but does not want to press charges. You watch her drive away with Chad and their two children. What are the most important points you should have communicated to Chloe?
Shelters - brochures (hide them)
It’s not your fault - you didn’t cause this
who reports abuse to police?
the victim - unless child or adult
elder abuse can take place in this form
financial abuse or exploitation - stealing from them
those who are frail are at higher risk of becoming victims of elder abuse, t or f
true - women more than men
more common in vulnerable - other psych disorders (dementia)
red flags of elder abuse
fear of being alone with caregiver malnutrition bedsores begging for food concern over finances withdrawn, emotionless (depressed)
