exam 4 violence & abuse

Question 1

what are the types of abuse

Answer 1

intimate partner, child, elder, rape &sexual assault

Question 2

intimate partner violence can be

Answer 2

physical, sexual, or a combination

Question 3

increased rate of women being victims in an intimate partner violence during

Answer 3

pregnancy

Question 4

cycle of abuse and violence

Answer 4

violent episode-> honeymoon phase->tensions-building-> violent episode

Question 5

screening assessment for intimate partner violence (think SAFE)

Answer 5

stress/safety
afraid/abused
friends/family
emergency plan

Question 6

treatment and interventions for intimate partner violence/abuse

Answer 6

laws related to domestic violence; arrest, restraining order, order of protection, shelters, individual therapy, group counseling, self help groups, treatment for anxiety&depression

Question 7

types of child abuse

Answer 7

Physical abuse or injuries
Neglect or failure to prevent harm
Failure to provide adequate physical or emotional care or supervision
Abandonment
Sexual assault or intrusion
Overt torture or maiming

Question 8

clinical picture of parents who abuse children

Answer 8

Minimal parenting knowledge, skills

Emotionally immature, needy, incapable of meeting own needs

View children as property

Cycle of family violence: adults raising children in same way they were raised (adults as victims of abuse frequently abuse their own children)

Question 9

treatment and intervention for abused child

Answer 9

Child safety, well-being a priority
Psychiatric evaluation/possible long-term therapy/play therapy (for very young child)
Family therapy if reuniting feasible
Psychiatric or substance abuse for parents
Foster care (short or long term)

Question 10

types of elder abuse

Answer 10

Physical, sexual, psychological abuse, or neglect

Self-neglect

Financial exploitation

Denial of adequate medical treatment

Question 11

who are generally elder abusers

Answer 11

60% perpetrators spouses, 20% adult children, 20% others

Question 12

treatment and intervention for elder abuse

Answer 12

Caregiver stress relief

Additional resources

Possible removal of elder or caregiver

Question 13

4 categories of male attackers

Answer 13

Power assertive rapist (30%)

Power reassurance or opportunity rapist (30%)

Anger retaliation rapist (24%)

Anger excitement or sadistic rapist (16%)

Question 14

psychological problems with rape &sexual assault

Answer 14

Fear, helplessness, shock, disbelief, guilt, humiliation, embarrassment

Avoidance of places or circumstances of rape; loss of previously pleasurable activities

Depression, anxiety, PTSD, sexual dysfunction, insomnia, impaired memory, suicidal thoughts

Question 15

treatment and intervention of sexual assault

Answer 15

Immediate support
Education (see Box 12.6)
Prophylactic treatment of STIs, pregnancy
Therapy to restore victim’s sense of control

Question 16

types of community violence

Answer 16

School violence (homicides, suicides, theft, violent crimes)

Bullying (correlated with an increase in suicides)

Hazing

Effects on children, young adults

Violence on larger scale (i.e., terrorism)

Early intervention, treatment for victims

Question 17

what is involved in the assessment of someone experiencing abuse

Answer 17

intellectual processes, judgement&insight, self-concept, roles&relationships, physiologic considerations, hx of trauma, general of appearance, mood, and thought processes (powerpoint gives an example of each of these pretty straight forward)

Question 18

common nursing diagnoses related to abuse

Answer 18

Ineffective coping

Posttrauma response

Chronic low self-esteem

Powerlessness
Risk for self- mutilation

Question 19

outcome identification of abuse victim

Answer 19

Be physically safe

Distinguish between self-harm ideas and taking action on those ideas

Learn healthy ways to deal with stress

Express emotions nondestructively

Establish social support network in community

Question 20

interventions for abuse victim

Answer 20

Promoting patient’s safety

Helping patient cope with stress, emotions using grounding techniques

Helping promote patient’s self-esteem

Establishing social support

Question 21

self awareness issues

Answer 21

Becoming comfortable asking all women about abuse (SAFE questions)

Listening to accounts of abuse from patients, families

Recognizing patient’s strengths, not just problems

Working with perpetrators of abuse; dealing with own feelings about abuse, violence

Question 22

honeymoon phase is

Answer 22

when things are going okay

Question 23

if a child shows signs of abuse you

Answer 23

HAVE to report it

Question 24

whos the bigger abuser to a child mom or dad

Answer 24

mom

Question 25

clinical manifestation of child/elder abuse

Answer 25

bruises, malnourishment, spiral fractures, withdrawal, social isolation

Question 26

only report sexual assault rape of an adult IF

Answer 26

patient agrees

Question 27

always report signs of

Answer 27

child abuse

Question 28

what is the feminist theory

Answer 28

women historically objects for aggression

Question 29

define SANE

Answer 29

sexual assault nurse examiner