Domestic Violence

Question 1

who is typically the 1st point of contact for family violence

Answer 1

the nurse

Question 2

forms of abuse/violence

Answer 2

emotional
physical
sexual
neglect

Question 3

those who experience violence refer to themselves as

Answer 3

accident prone

Question 4

what should nurses do for people presenting w/suspected violence

Answer 4

assess - physical hx, x-ray study, neuro exam
if preg. assess for rape
document verbal statements/physical findings
ask if photos can be taken

Question 5

stress-related conditions seen in family violence

Answer 5

insomnia
nightmares
anxiety/fatigue

Question 6

a tell-tale sign of domestic violence

Answer 6

explanation doesn’t match symptom

Question 7

social learning theory for violence

Answer 7

children learn what they see, believe violence is the norm

Question 8

social/cultural that may contribute to violence

Answer 8

social isolation

unemployment/poverty

Question 9

what is the frustration-aggression hypothesis

Answer 9

frustration is response to stress in life - become aggressive

Question 10

psychological fxrs r/t violence

Answer 10

personality traits 
drugs/alcohol = excuse
low self-esteem
impulse
immature

Question 11

abuser will sometimes argue this

Answer 11

loss of control - not supported by behavior

victims are chosen - abusers are deliberate

Question 12

affects of violence is very damaging to who

Answer 12

children - (end up having behavior problems themselves and become abusers)

Question 13

if children are abused what can nurses do

Answer 13

report - child and elder abuse - child protective svcs

Question 14

the ldg cause of homelessness in women

Answer 14

IPV - intimate partner violence

Question 15

characteristics of IPV - how does the battered partner feel

Answer 15

isolated - nowhere to go (financially/emotionally depend.)
self medicating (req. trt)

Question 16

characteristics of IPV batterer

Answer 16

appears well adjusted on outside
believes male supremacy
extremely jealous, possessive
blames alcohol/drugs (excuse)

Question 17

***what are the 3 phases in the cycle of violence

Answer 17

tension-building
acute battering
honeymoon

Question 18

what stage in the cycle of violence does the abused decide they are going to leave, the most dangerous stage

Answer 18

the honeymoon phase

Question 19

why do abused partners stay

Answer 19

financially dependent
depression
may believe they did something wrong
reinforced by the honeymoon stage
for sake of kids

Question 20

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?

Answer 20

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.

Question 21

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?

Answer 21

Shelters - brochures (hide them)

It’s not your fault - you didn’t cause this

Question 22

who reports abuse to police?

Answer 22

the victim - unless child or adult

Question 23

elder abuse can take place in this form

Answer 23

financial abuse or exploitation - stealing from them

Question 24

those who are frail are at higher risk of becoming victims of elder abuse, t or f

Answer 24

true - women more than men

more common in vulnerable - other psych disorders (dementia)

Question 25

red flags of elder abuse

Answer 25

fear of being alone with caregiver
malnutrition
bedsores
begging for food
concern over finances
withdrawn, emotionless (depressed)