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NRSG 126: Mental Health > [Exam 2] Chapter 12: Abuse and Violence > Flashcards

[Exam 2] Chapter 12: Abuse and Violence Flashcards

1
Q

What does Family Violence encompass?

A

Spouse Battering, Neglect and Physical, Emotional, or Sexual Abuse of Children

Elder Abuse

Marital Rape

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2
Q

What are some chacteristics of violent families?

A

Social Isolation

Abuse of Power and Control

Alcohol and Other Drug Abuse

Inter-generational Transmission Process

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3
Q

Social Isolation: What do members do here?

A

Keep to themselves and usually do not invite others into the home or tell anyone what is happening

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4
Q

Abuse of Power and Control: Intimate partner violence (IPV) acounts for what percentage of homocides?

A

14%

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5
Q

Alcohol and Other Drug Abuse: Why is alcohol a problem with abuse?

A

Alcohol may diminish inhibitions and make violent behaviors more intense or frquent

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6
Q

Alcohol and Other Drug Abuse: What is the date rape drug often used?

A

Flunitrazepam (Rohypnol)

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7
Q

Intergenerational Transmission Process: What is this?

A

Shows that patterns of violence are perpetuated from one generation to the next through role modeling and social learning

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8
Q

Intergenerational Transmission Process: An example of Intergenerational Transmission?

A

Children who witness violence between their parents learn that violence is the way to resolve conflict

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9
Q

Intimate Partner Violence: What is this?

A

Mistreatment or misuse of one person by another in the context of an emotionally intimate relationship

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10
Q

Intimate Partner Violence: What kind of abuse can occur here?

A

Emotional or Psychological

Physical, Sexual, or a Combination

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11
Q

Intimate Partner Violence: What is Psychological Abuse?

A

Includes name-calling, belittling, screaming, yelling, destroying property and making threats

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12
Q

Intimate Partner Violence: What is Physical Abuse?

A

Ranges from shoving and pushing to severe battering and choking and may involve broken limbs and ribs , internal bleeding, brain damage, and even homicide

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13
Q

Intimate Partner Violence: What does Sexual Abuse include?

A

Assaults during sexual relationships such as biting nipples, pulling hair, slapping, and hitting and rape

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14
Q

Intimate Partner Violence: Why do pregnant women experience an increase in violence during pregnancy?

A

Results from partners jealously, possessiveness, insecurity, and lessened physical and emotional availability of the pregnant women

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15
Q

Intimate Partner Violence: How often does Domestic Violence occur?

A

In same-sex relationships with same statistical frequency as in heterosexual relationships

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16
Q

Intimate Partner Violence: What kinds of signs does a abuser typically have?

A

Strong feelings of inadequacy and low self-esteem as well as poor problem solving and poor social skills

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17
Q

Intimate Partner Violence: What is the most common trait found in abused wives?

A

Dependency, both personal and financial that make it difficult to leave a relationship

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18
Q

Cycle of Abuse and Violence: What is the cycle of vioence?

A

Typial pattern exists; usually, initial episode of battery followed by episode of abuser expressing regret. Then leads to Honeymoon Period where they are loving. After honeymoon period, tension-building phase begins again. Tension ends in another violent episode.

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19
Q

Cycle of Abuse and Violence: Initially, the honeymoon period may last how long

A

weeks or even months, causing woman to blieve relationship has improvved.

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20
Q

Assessment: What are some don’ts when working with vitctims of partner abuse?

A

“Don’t tell victim what to do”

Don’tt take charge and do everything for the client

Don’t imply client is responsible for abuse

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21
Q

Assessment: What are the dos when working with victims of partner abuse?

A

Do believe the victim

Ensure and maintain clients confidentiality

Do say “Abuse is not your fault”

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22
Q

Assessment: What are some questions to ask about safety?

A

Do you feel safe in your relationship?

Concerned for your safety?

DO you ever feel threatened?

Do you have a safe place to go if you need to?

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23
Q

Treatment and Intervention: Civil orders of protection are more effective in preventing future violence when linked with other interventions such as

A

advocacy counseling, shelter, or talking with health care providers

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24
Q

Treatment and Intervention: What are the lifetime prevalence rates of stalking in mena dn women?

A

1 in 6 women

1 in 19 men

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25
Q

Treatment and Intervention: What is IPV?

A

The mistreatment or misuse of one person by another

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26
Q

Treatment and Intervention:IPV may be suspected when?

A

Client exhibits unexplained bruising, broken bones, sexual assault, or a psychological/emotional trauma.

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27
Q

Treatment and Intervention:How is stalking a crime of intimidation?

A

Perpetrators harass and terrorize their victims through behavior that causes fear or substantial emotional distress

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28
Q

Child Abuse: What is child abuse?

A

Intentional injury of a child . Can include physical abuse, neglect, or failure to prevent harm, and provide adequate physical and emotional care of supervision

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29
Q

Child Abuse: Who often perpetrates abuse on girls?

A

Fathers, stepfathers, uncldes, older sibilings, and live-in partners

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30
Q

Child Abuse: Adults with ah istory of childhood sexual abuse are at a higher risk for

A

depression, suicide attempts, marital problems, marriage to ana clhoolic, smoking, alcohol abuse, and chronic pain

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31
Q

Types of Child Abuse: Physical absue of children often results from

A

unreasonably severe corporal punishments or unjustifiable punishments such as hitting an infant for crying

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32
Q

Types of Child Abuse: Intentional, deliberate assaults on children include

A

burning, biting, cutting, poking, twisting limbs, or scalding with hot water

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33
Q

Types of Child Abuse: What does sexual abuse invovle?

A

Sexual acts performed by an adult on a child younger than 18.

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34
Q

Types of Child Abuse: Examples of sexual abuse?

A

Incest, rape, and sodomoty performed directly by the person or with an object

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35
Q

Types of Child Abuse: Second type of sexual abuse involves exploitation, which is what?

A

Making, promoting, or selling pornography involving minors, and coercion of minors to participate in obscene acts

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36
Q

Types of Child Abuse: What is neglect?

A

Malicious or ignorant withholding of physical, emotional, or educational necessities for the child’s well-being

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37
Q

Types of Child Abuse: Child abuse by neglect includes what examples?

A

Refusal to seek health care or delay doing so, abdandonment, inadequate supervision, reckless disregard for child safety, and abusive emotional tratment

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38
Q

Types of Child Abuse: What does Psycholigcal Abuse include?

A

Verbal assaults such as blaming, screaming, name-calling, and using sarcasm, and family characteristics that include fighting, yelling, and chaos

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39
Q

Child Abuse & Clinical Picture: What may cause a parent to do this?

A

Have minimal parenting knowledge and skills. May not understand or know what children need, and may be angry because they are meotionally unequipped o meet those needs

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40
Q

Child Abuse & Clinical Picture: Parents who abuse their children have what traits?

A

Emotionally immature, needy, and incapable of meeting their own needs

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41
Q

Child Abuse & Clinical Picture: In spousal abuse, how does the abuser view the children?

A

As property belonging to the absing parent

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42
Q

Child Abuse & Assessment: What are some warning signs of abused children?

A

Serious injuries such as fractures, burns, or lacerations with no hisotry of trauma

Delay in seeking tx

High incidience of UTI

Parent giving history inconsistent with severity of injury

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43
Q

Child Abuse & Assessmenet: Children who have been sexually abused may have wha t signs?

A

UTI, Bruised, Red, Swollen Genitalia, Tears of Rectum or Vagina, and Bruising

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44
Q

Child Abuse & Assessmenet: What signs from a child may indicate abuse?

A

Unexplained behavior, from refusal to eat to aggressive behavior with peers

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45
Q

Child Abuse & Assessmenet: How do nurses handle suspected abuse?

A

Report suspected abuse with accurate and thorough documentation of assessment data

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46
Q

Child Abuse & Assessmenet: Where would a nurse report abuse?

A

May report suspected abuse to appropriate local governmental authorities. This could be CPS, Children and Family Services.

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47
Q

Child Abuse & Treatment and Intervention: First part of treamtnet includes what?

A

To ensure childs safety and well-being. This may involve removing the child from the home.

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48
Q

Child Abuse & Treatment and Intervention: Long-term treatment for the child usually involves

A

professionals from several disciplines, such as psychiatry, social work, and psychology

49
Q

Child Abuse & Treatment and Intervention: Very young children may communicate best through

A

play therapy, where he or she draws or acts out siutations with puppets or dolls rather than talks

50
Q

Child Abuse & Treatment and Intervention: What is social services role here?

A

Involved in determining whether returning the child to the parental home is possible based on whether parents can show benefit from tx

51
Q

Child Abuse & Treatment and Intervention: What nay parents require?

A

Psychiatric oro substance abuse treatment.

52
Q

Elder Abuse: What is this?

A

Maltreatmetn of older adults by family members or others in a caregiver role. Includes physical and sexual, psychological abuse, neglect, and financial exploitation

53
Q

Elder Abuse: How common is this?

A

1-10 over age 65 are injured, exploited, abused, or neglected

54
Q

Elder Abuse: Most victims of elder abuse are what age?

A

75 years or older

55
Q

Elder Abuse: When is abuse most likely?

A

When the elder has multiple chronic mental and physical health problems and when he/she is dependent on others for food

56
Q

Elder Abuse: People who abuse elders are almost always in what role?

A

Caregiver role

57
Q

Elder Abuse: What has also been identified in senior living facilities between residents?

A

Bullying . Verbal and social bullying is most common

58
Q

Elder Abuse: What do ombudsmen do?

A

Allowed to visit nursing homes to check on care of elderly. Report that complaints of elder abuse are common in instiutions

59
Q

Elder Abuse &Clinical Picture: How do the victims appear?

A

Bruises/Fractures

May lack needed glasses or hearing aids.

May be denied foods, fluids, or meds.

Restricted in a bed or chair

60
Q

Elder Abuse &Clinical Picture: What does self-neglect involve?

A

the elder’s failure to care for him or herself

61
Q

Elder Abuse & Assessment: What makes assessment difficult?

A

Determining whether the elder’s conditions results from deterioration assocaited with a chronic illness or from abuse

62
Q

Elder Abuse & Assessment: What are some Physical Abuse Indicators?

A

Frequent, unexplained injuries.

Reluctance to seek medical tx.

Disorientation or grogginess indicating misuse of medsd

Fear or edgines in presence of family members

63
Q

Elder Abuse & Assessment: What are some Psychosocial Abuse Indicators?

A

Changes in elders general mood or usual behavior

Isolated from previous fmaily

Sudden lack of cntact

Hesistance to talk openly

Withdrawal or depression

64
Q

Elder Abuse & Assessment: What are some Material Abuse Indicators?

A

Unpaid bills

Standardsd of living below normal levels

Unusual or inappropriate activity in bank

Recent changes in will

Lack of easily affordable items

65
Q

Elder Abuse & Assessment: What are some Neglect Indicators?

A

Poor personal hygiene

Lackof needed meds

Dirt, fecal, or urine smell

Rashes, sores, or lice on elder

Elder has untreated medical condition

66
Q

Elder Abuse & Assessment: What are some Self-Neglect indicators?

A

Inability to manage personal finances, sucha s hoarding

Inability to manage activies of daily living

Wadnering, refusing needed medical attention, isolation

Failure to keep needed medical appointments

Confusion, memory loss, unresponsiveness

67
Q

Elder Abuse & Assessment: What are some Warning Indicators from Caregiver?

A

Elder not given opportunity to speak

Attitudes of indifference or anger toward the elder

Blaming elder for his/her illness

Conflicing accounts of elders abilities, problems, and so forth

68
Q

Elder Abuse & Assessment: When should the nurse suspect abuse?

A

If injuries have been hidden or utnreated or are incompatible with the explanation provided

69
Q

Elder Abuse & Assessment: Examples of injuries ?

A

Cuts, lacerations, puncture wounds, bruises, welts, or burns

70
Q

Elder Abuse & Assessment: Signs of Physical Neglect include what?

A

Pervsive smell of urine or feces, dirt, rashes, sores, lice, or inadequate clithing

71
Q

Elder Abuse & Assessment: POssible indicators of emotional or psychological abuse include what?

A

Elder hesistant to talk openly to nurse or fearful, withdrawn, depressed, and helpless

72
Q

Elder Abuse & Assessment: Possible indicators of self-neglect include ?

A

Inability to manage money, inability to perform ADLs, changes in intellectual function.

73
Q

Elder Abuse & Assessment: For self-neglect to be diagnosed, elder must be evaluated as ?

A

Unable to manage day-to-day life and take care of themselves

74
Q

Elder Abuse & Assessment: What are some signs that caregier abuse may be occuring?

A

Caregiver may complain of how difficult caring for elder is

Incontinence

Difficulties in Feeding

Excessive Costs of Meds

75
Q

Elder Abuse & Assessment: What do the laws givering adult protective services do?

A

Provide a system for defining, reporting, and investigfting abuse, as wwell as providing services to victims

76
Q

Elder Abuse & Treatment and Intervention: What may correct an abusive siutation?

A

Relieving the caregiver’s stress and providing additional resources

77
Q

Rape and Sexual Assault: What is rape?

A

The perpetration of an act of sexual intercourse with a person against their will and without their consent, whetehr that will is overcome by force, fear of force, drugs, or intoxicants

78
Q

Rape and Sexual Assault: what else may make something rape?

A

If victim is incapable of exercising rational judgement because of mental deficiency or because they’re younger than age of consent

79
Q

Rape and Sexual Assault: What is sodomy?

A

sexual intercourse involve anal or oral copulation

80
Q

Rape and Sexual Assault: What is the problem with same-sex abuse?

A

Seven states define domestic violence in a way that excludes same-sex victims

81
Q

Rape and Sexual Assault: What is date rape?

A

May occur on a first date, ride home from party, when two people have known each other for somem times.

82
Q

Rape and Sexual Assault & Dynamics of Rape: What is rape generally accepted to be ?

A

Is not a sexual crime but rather the perpetrator’s exertion of power, control, infliction of pain, or punishment for perceived wrongs

83
Q

Rape and Sexual Assault & Dynamics of Rape: WWhat does Feminist theory propose?

A

That women have historicallt served as objects of aggression, dating back to when women were legally the property of men

84
Q

Rape and Sexual Assault & Dynamics of Rape: What happened in 1982 for the first time?

A

Married man was convicted of raping his wife, signlaing an end of notion that sexual intercourse could not be denied in context of marriage

85
Q

Rape and Sexual Assault & Dynamics of Rape: What are some medical problems that can result from this?

A

Include acute injury, sexually transmitted diseases, pregnancy, and lingering medical complaints

86
Q

Rape and Sexual Assault & Dynamics of Rape: What did a cross-sectional study f medical patients show?

A

Women who had been raped rates themselves as significantly less healthy, visited physician twice as often, and incurred medical costs twice as high as those who did not

87
Q

Rape and Sexual Assault & Dynamics of Rape: What changes can occur in a woman after rape?

A

Experience depression, anxiety, PTSD, sexual dysfunction, insomnoa, and impaired memory

88
Q

Rape and Sexual Assault & Dynamics of Rape: What are some common myths about rape?

A

Rape is about having sex

Women who dress bad ask for sex

If woman has orgasm, it can’t be rape

Rape is exciting for some women

89
Q

Rape and Sexual Assault & Assessment: When should physical examiniation occur?

A

BEfore victim has showered, brushed teeth, douched, changes clothes, or had anything to drink

90
Q

Rape and Sexual Assault & Assessment: If there is no report of oral sex, what may be permitted immediately?

A

Rinsing the mouth or drinking fluids

91
Q

Rape and Sexual Assault & Assessment: How can a nurse assess the patients phsyical status?

A

Asks the victim to describe what happened. If they can’t, nurse may ask needed questions gently and with care

92
Q

Rape and Sexual Assault & Treatment and Intervention: Victims of rape fare best when what happens?

A

They receive imediate support and can express fear and rage to family members, nurses, physicians, and law enforcement officials who believe them

93
Q

Rape and Sexual Assault & Treatment and Intervention: What are some examples of characteristics of people who are likely to commit dating violence?

A

Expressing negativity about women, acting tough, engaging in heavy drinking, exhibiting jealously, making belittling comments

94
Q

Rape and Sexual Assault & Treatment and Intervention: What are some warning signs of relationship violence?

A

Emotionally abuses yo

Tell you with who you may be friends with

Talk negatively about women

Jealous for no reason

Drinks heavily/uses drugs

Acts in an intimidating way to invade personal space

95
Q

Rape and Sexual Assault & Treatment and Intervention: What are rape treatment centers?

A

Emergency services that coordinate psychiatric, gynecologic, and physical trauma services in one locationa dn work with law enforcement agencies

96
Q

Rape and Sexual Assault & Treatment and Intervention: What are some ways that the nurse can give as much control as possible back to victim?

A

Allowing them to make their decisions when possible about whom to call, what to do next, what she would like done

97
Q

Rape and Sexual Assault & Treatment and Intervention: It is the victims decision to determine what?

A

Whether or not to file charges and testify against the perpetrator

98
Q

Rape and Sexual Assault & Treatment and Intervention: What is offered for STDs?

A

Prophylactic tx. It is cosst-effective and many victims will not return to get definitive tests.

99
Q

Rape and Sexual Assault & Treatment and Intervention: Why is HIV testing encouraged at specific intervals?

A

Because seroconversion to postiive status does not occur immediately

100
Q

Rape and Sexual Assault & Treatment and Intervention: What may be offered to prevent pregnancy?

A

Prophylaxis with ethinyl estradiol and norgestrel (Ovrall)

101
Q

Rape and Sexual Assault & Treatment and Intervention: What do rape crisis centers, advocacy groups and other local resources often provide?

A

A counselor or volunteer to be with the victim from the emergency department through the longer-term follow up

102
Q

Rape and Sexual Assault & Treatment and Intervention: What services does the counselor or volunteer provide?

A

Emotional support services, such as advocate for victim and can be totally available for the victim

103
Q

Rape and Sexual Assault & Treatment and Intervention: What does therapy usually focus on?

A

Approach and focuses on restoring the victims ense fo control, relieving feelings of helplessness, dependency, and obsession with the assault that frequently follow rape along with regaining trust

104
Q

Rape and Sexual Assault & Treatment and Intervention: How long doese it typically take to regain previous levels of functioning?

A

1 year or more

105
Q

Community Violence: In an effort to combat violence at school, CDC has been working with schools to develop what?

A

Curricula that emphasize problem-solving skills, anger management, and social skills development

106
Q

Community Violence: What is Ostracism?

A

Ignoring and exclusing a target individual, and has emerged as one of the more common and damaging forms of bullying

107
Q

Community Violence: What does a victim facing ostracism experience?

A

Experiences treats to belonging, self-esteem, meaningful existence, and sense of control

108
Q

Community Violence: Kids who were bullied reported more what?

A

Loneliness and difficulty making friends and they were more likely to have poor grades and use alcohol and tobacco

109
Q

Community Violence: Hazing has reported negative consequences sucha s what?

A

Fighting, being injured, hurting other people, doing poorly in school, dificulty eating, sleeping, or concentrating.

110
Q

The US DEpartment of Health and Human Services has identified violence and abusive behaviors as what?

A

National health conceerns

111
Q

Who are most likely victims of abuse and violence?

A

Women and children

112
Q

Characteristics of violent families include

A

an intergenerational transmission process, social isolation, power and control, and use of alcohol and other drugs

113
Q

Spousal abuse may fall into what categories?

A

Emotional, physical, sexual, or all three

114
Q

Women have difficulty leaving abusive relationships because why?

A

Financial and emotional dependence on the abusers and ecause of the risk of suffering increased violence or death

115
Q

Nurses in various setting can uncover abuuse how?

A

By asking women about their safety in relationships. MAny hospitals and clinics now ask women about safety issues

116
Q

Half of reported rapes are reported on who?

A

By someone the victim knows

117
Q

How many children are affected by child abuse?

A

3 million

118
Q

Victims of rape do best when?

A

They receive imediate support and can express fear and rage to family, friends, health care providers and law enforcement officials who believe and will lsiten to them

119
Q

Important self-awareness issues for the nurse include what?

A

Managing his or her own feelings and reactions about abuse, being willing to ask about abuse, adn recognizing and dealing witha ny abuse issues he or she may have experienced personally

NRSG 126: Mental Health (24 decks)

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