Family Violence Flashcards

1
Q

Four Abuse Categories:

A

Emotional
Physical
Sexual
Neglect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are some examples of ED visits suspected of family violence there are also signs of what

A

Hyperventilation, panic attacks
Gastrointestinal disturbances
Chest pain
Depression Insomnia/ Violent nightmares/Extreme fatigue

signs of PTSD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is the most likely interaction of theories for abuse

A

Most likely the interaction of societal, psychological, cultural & neurobiological factors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is the Social Learning Theory (intergenerational violence theory):

A

Behaviors develop through role modeling & human interaction
An abused child learns that violence is acceptable or the norm
Without consequences the abuser is rewarded with a sense of power and control

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what are some social and cultural factors related to abuse

A
Poverty or unemployment
Overcrowded communities or lack of resources
Social isolation of families
Early parenthood
Lack of/ or inadequate coping skills
Family member with chronic health problems
Frustration-aggression hypothesis
Patriarchal Theory
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what are the psychological factors related to abuse theories

A

The abuser has traits that make him/her violent and can not control their violent behaviors
Other psychological factors: low self esteem, hypersensitivity, narcissism, immature, poor coping skills

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is child abuse

A

When a child is harmed physically, psychologically, sexually or through acts of neglect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

where would a medical professional report child abuse

A

child protective services (CPS)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what are some signs of neglect the child shows

A
Speech disorders
Lag in development
Malnourished, stealing food
Poor hygiene
Clothing inappropriate: sized, soiled
School problems, tardiness, truancy
Not supervised
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what are some behavioral signs of abuse

A

Withdrawn, depressed, aggressive
Excessive fear of parents, tries to please
Nightmares, anxiety
Acting out at school
Regressive behavior
Hides injuries
May withdraw from physical contact with adults or make no eye contact

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what are some physical signs of abuse

A
Head injuries: skull and facial fractures
Bruises & welts in shapes of objects
Child may protect abuser for fear of punishment
Burns
On buttocks, genitals, soles of feet
Human bites
Rope burns from being tied
Fractures in different stages of healing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are some physical signs of sexual abuse

A
Difficulty walking, sitting
Itching in private areas
Bleeding, bruising of genitals/rectum
Swelling or discharge
Sexually transmitted infection (STI)
Bloody stained/torn underclothing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is the most commone age range for sexual abuse victims

A

4-7 by a family member

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what type of questions would you ask children who are suspected to be abused

A

open ended questions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what are the assessment guidelines for interviewing the parent of a abused child

A

Conduct a private interview.
Be direct, honest, and professional.
Be attentive and understanding.
Inform the person if you must make a referral to Child Protective Services, and explain the process.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is the best outcome of child abuse

A

Physical abuse, sexual abuse, or neglect has ceased.”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what is included in the accurate and detailed records of the incident:

A

Verbatim statements of who caused injury and when it occurred
Body map to indicate size, color, shape, areas, and typesof injuries with explanation
Use of photographs per hospital policy (most likely by police)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what are the different forms of teen abuse

A
Extreme possessiveness
Jealousy
Physical stalking
Cyber stalking
Manipulation/control over one’s partner
Demeaning one’s partner in front of friends 
Threatening to commit suicide
Forced intimacy or sex
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Children who reside in homes where IPV occurs are vulnerable to feelings of

A

of responsibility, guilt, emotional distress, behavioral regression, somatic complaints, PSTD, alcohol or drug abuse, and more.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what does it mean to Control through intimidation:

A

Instills fear through threats
Breaks things, destroys property, abuses pets, displays weapons, threatens children, and threatens homicide or suicide
Increases physical, sexual, and psychological abuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what does it mean to control through economic abuse

A

Controls the money. If the partner works, the batterer calls excessively and forces the partner to miss work.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what does it mean to control through power

A

Makes all the decisions, defines the role in the relationship, treats the partner like a servant, and takes charge of the home and social life.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what does it mean to control through isolation

A

Limits family or friends, controls activities and social events, tracks the time or mileage on the car, monitors activities, stalks the partner at work, takes the partner to and from work or school, and may demand permission to leave house

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

violence is what kind of behavior

A

learned

25
Q

what emotions does the abuser feel

A

low sense of self
poor impulse control
limited tolerance for frustration.

26
Q

what are you focusing on in programs for abuse

A

Eliminating violence via reflection/skill building

Alternatives to fines and incarceration

27
Q

what are the priorities for programs for abuse

A

Protect victims

Make offenders accountable

28
Q

what is included in programs for abuse: address the need to exert control

A

Change batterer’s self-perception
Address abuser’s own history as victim if applicable
Cognitive-behavioral therapy

29
Q

what are the 3 phases of cycle of violence

A

Tension building
Acute battering
Honeymoon

30
Q

what are some reasons that the victim stays with the abuser

A

Financial support
Isolation/support system gone
Can’t survive without their partner
Depressed/lost physiological energy to leave
Low self-esteem: think partner is powerful

31
Q

what are some presenting signs of PTSD of abuse

A

high anxiety, stress, insomnia, chest pain, back pain, dizziness, stomach upset, trouble eating, and severe headache, among others.

32
Q

what are the 5 kinds of elder abuse

A
physical 
emotional 
finance abuse or exploitation 
neglect 
sexual abuse
33
Q

what is elder physical abuse

A

Infliction of physical pain orinjury (e.g., slapping, bruising, sexually molesting, restraining).

34
Q

what is elder emotional abuse

A

Infliction of mental anguish (e.g., humiliating, intimidating, threatening).

35
Q

what is elder finance abuse or exploitation abuse

A

Misuse of someone’s property and resources by another person.

36
Q

what is elder neglect

A

Failure to fulfill a caretaking obligation to provide goods and services; may also include self-neglect; “granny dumping”.

37
Q

what is elder sexual abuse

A

nonconsensual (either by refusal or incapacity to refuse) sexual contact.

38
Q

what is the difference of an elder abuser or a child abuser

A

the elder abuser may not be cruel or insensitive, but under extreme stress.
Abuser is often a middle-aged child of the victim.
Often, the caregiver is financially dependent on the older adult.
In many cases, the caregiver is dealing with mental illness, substance abuse, and an inability to cope.

39
Q

what are some red flags of elder abuse

A
Fear of being alone with caregiver
Obvious malnutrition
Bedsores or skin lesions
Begging for food
Needs medical and/or dental care
Left unattended for long periods
Reports of abuse and neglect
Passive, withdrawn, and emotionless 
Concern over finances and missing valuables
40
Q

are males or females more at risk for suicide

A

men because they chose more leathal way

41
Q

what are some major risk factors for suicide

A

anxiety, insomnia, and substance abuse.

42
Q

what are some Genetic factors for suicide

A

Suicide clusters develop in some families, resulting in a family history of suicide.

43
Q

what are some societal factors for suicide

A

No social supports are available to combat negative events and severe stress.

44
Q

what are some psychological factors for suicide

A

Psychotic tendencies result in increased risk, especially as it relates to command hallucinations that tell a person to kill themselves or delusions that they must die.
Hopelessness, helplessness, and feelings of worthlessness are evident.

45
Q

Neurobiologic aspects of suicide

A

Strong association exists between suicide and low serotonin.
Biological responses to stress may be risk factor.

46
Q

Noradrenergic systems (Mediates Stress response):

A

Overactivity is associated with severe anxiety, agitation, and a high suicidal risk.

47
Q

Hypothalamic-pituitary-adrenal (HPA) axis: (Stress Response)

A

Is associated with depression.

Suicide victims often exhibit HPA axis abnormalities.

48
Q

what is Sigmund Freud theory on suicide

A

Murderous attack on self

49
Q

what is Karls theory on suicide

A

Revenge, depression, guilt

50
Q

what is Edwins theory on suicide

A

Unbearable psychologic pain— “There is no way out.”
Self-destructive behaviors (e.g., drugs, hyperobesity, gambling, self-harmful sexual behaviors, medical noncompliance) as subintentioned suicide

51
Q

what are some risk factors for teen suicide

A

Frequent episodes of running away
Frequent expressions of rage and problems with parents
Family loss, instability, and withdrawal
Perception of failure: school, work, social
Expression of suicidal thoughts when sad or bored
Difficulty dealing with sexual orientation
Unplanned pregnancy

52
Q

what are some meds that may cause depressive symptoms

A
Antihypertensives
Benzodiazepines
Calcium channel blockers
Corticosteroids
Hormonal meds and pain killers
53
Q

what are some bahvioral clues for suicide

A

Giving away prized possessions
Writing farewell notes
Making out a will
Putting personal affairs in order
Failing to sleep or fall asleep for more than one night in a row (global insomnia)
Exhibiting sudden or unexpected improvement in mood after being depressed and withdrawn
Neglecting personal hygiene

54
Q

what does SADPERSONS stand for

A
sex 
age 
depression 
Previous attempt 
Excessive alchol or drug use 
Rational thinking loss 
Seperated/divorced/widowed 
Organized attempt 
No support 
Stated future attempt
55
Q

what is the institutional protocol for suicide

A

Provide a safe environment.
Document the patient’s activity—usually every 15 minutes; include what the patient is doing and with whom.
Maintain accurate records of nurse and physician actions.
Place the patient on either suicide precaution or suicide observation.
Construct a verbal or written no-suicide contract.
Encourage the patient to talk about his or her feelings and alternatives

56
Q

During a suicidal crisis, the following information should be conveyed to the patient in all settings:

A

The crisis is temporary.
This unbearable pain can be survived.
Help is available.
You are not alone.

57
Q

Intervention After the Crisis Period

A

Arrange to have the patient stay with family, friends, or in the hospital if the patient is highly suicidal.
Remove weapons and pills; activate social supports.
Encourage the patient to talk freely and discuss alternatives.
Contact family members/ Arrange for crisis counseling.
Prescribe antianxiety or antidepressant medications if needed. Only a 1- to 3-day supply of medications should be given.

58
Q

interventions after a suicide has been completed.

A

Should be initiated within 24 to 72 hours after death.
Family/friends face mourning without social support.
People don’t know what to say.
People sometimes blame family/friends.
Often face stigmatization and isolation.