Family and Community Violence

Question 0

Risk Factors

Answer 0

1. Female partner
2. greatest risk when trying to leave a relationship
3. Pregnancy- increases likely hood of violence toward intimate partner
4. Children under 3
5. perpetrator perceives child as being different
6. Older dependent adults

Question 1

Factor most likely to predict violence between strangers is:

Answer 1

A past history of violence and criminal activity.

Question 2

Tension building phase:

Answer 2

The abuser has minor episodes of anger and my be verbally abusive and responsible for some minor physical violence. The victim is tense during this stage and tends to accept the blame for what is happening.

Question 3

Acute battering phase:

Answer 3

The tension becomes too much to bear and serious abuse takes place. The victim may try to cover up the injury or may get help.

Question 4

Honeymoon phase:

Answer 4

The situation is defused for awhile after the violent episode. The abuser becomes loving, promises to change, and is sorry for the behavior. The victim wants to believe this and hopes for a change. Eventually the cycle beings again.

Question 5

Periods of escalation and de-escalation:

Answer 5

usually continue with shorter and shorter periods of time between the two. Emotions for the abuser and victim, such as fear or anger, increase in intensity. Repeated episodes of violence lead to feelings of powerlessness.

Question 6

Types of Violence:

Answer 6

1. Physical violence
2. Sexual
3. Emotional
4. Neglect
5. Economic maltreatment.

Question 7

Vulnerable person (victim) characteristics

Answer 7

1. low self-esteem and feelings of hopelessness, helplessness, powerlessness, guilt, and shame
2. Attempts to protect the perpetrator and accept responsibility for the abuse
3. Possible denial of the severity of the situation and feelings of anger and terror.

Question 8

Perpetrator characteristics:

Answer 8

1. Possible use of threats and intimidation to control the victim
2. extreme disciplinarian who believes in physical punishment
3. history of substance use disorder
4. difficulty assuming typical adult roles
5. experienced family violence as a child

Question 9

Shaken Baby Syndrome

Answer 9

1. Intracranial hemorrhage
2. Assess RR distress, bulging fontanelles, and an increase in head circumference.
3. Retinal hemorrhage may be present.
4. Any bruising on an infant before 6 months is suspicious.

Question 10

Preschoolers and Adolescents signs of abuse:

Answer 10

1. Unusual bruising on abdomen, back, buttocks
2. Assess the mechanism of injury, which may not be congruent with the physical appearance of the injury
3. Assess for burns
4. assess for fractures with unusual features, such as forearm spiral fractures (extreme twisting)
5. human bite marks
6. head injuries- LOC, equal and reactive pupils, N/V