Final

Question 1

What is IVP?

Answer 1

Violence is the intentional use physical force or power, threatened or actual against oneself, another person, or against a group or community that results in a high likelihood of injury, death, psychological harm, maldevelopment, or deprivation.

Question 2

What are the 9 type of violence?

Answer 2

Neglect
Physical violence
Sexual violence
Verbal abuse (includes emotional and psychological)
spiritual/ religious violence
cultural violence
financial violence

Question 3

Physical Violence

Answer 3

Hitting, punching, assault with a weapon, threat with an object, murder, medication (withholding or forcing), use of restrains.

Question 4

Sexual Violence

Answer 4

Forced intercourse, non consensual touching, forced compliance with a weapon, denial of privacy, forced prostitution.

Question 5

Spiritual and cultural violence

Answer 5

Spiritual: Not allowing participation in religious traditions, belittling religious practices.
Cultural: Committing crimes against someone because of their culture

Question 6

Financial abuse

Answer 6

Refusing to allow a parson to seek work outside of the home, committing fraud, selling assets without permission, forging signatures on legal documents, failure to pay bills on the victim’s behalf

Question 7

Neglect

Answer 7

Neglect can be intentional or unintentional. It is the failure to meet basic needs (physical, medical, emotional)
Not providing incontinent care, not providing clean clothes, denying social companionship, ignoring dietary restrictions, withholding medications, not taking to medical appointments

Question 7

Secondary effects of violence

Answer 7

Depression
Suicidal ideation
Chronic post-traumatic stress symptoms
Dissociation
Interpersonal disturbances
Substance abuse
Revictimization

Question 7

Adult Protection Act

Answer 7

The Adult Protection Act protects those adults who are unable to protect themselves. The Act defines an ‘adult in need of protection’ as someone who is 16 years of age or older who is abused or neglected and who cannot physically or mentally protect or care for herself or himself.

Question 8

Elder Maltreatment

Answer 8

Approx. 1/10 elderly people have experienced neglect or abuse. Usually the perpetrator is known to the victim as a friend, family member, or care giver

Question 9

Characteristics of vulnerable persons: Older adults

Answer 9

-Poor mental or physical health
-Dependent on perpetrator
Female
-Older than 75 years
-Living with a relative
-Older adult being cared for by former abused relative
-Older adult being cared for by someone who has historically abused them

Question 10

Principles for screening potential abuse (ABCD-ER)

Answer 10

Attitude/Approachability
Belief
Confidentiality
Documentation
Education
Respect and Recognition

Question 11

What is the protection of persons in care act?

Answer 11

Protects individuals in care (any institution deemed a health facility)
A duty to employees to protect patients and residents from abuse or neglect
We are mandatory reporters for suspected abuse

Question 12

Intimate of Partner violence

Answer 12

Domestic violence (intimate partner violence) occurs between formers who may or may not live together
An attempt to gain or assert power and control over a partner

Question 13

Potential warning signs of domestic violence

Answer 13

Withdrawn, nervous, depress, anxious in the presence of a certain person, making excuses for partners behaviors, missing work/school, change in job performance, bruising and social isolation from peers or family.

Question 14

Domestic Violence stats

Answer 14

It is a problem for all sexes, but statistically women are much more likely to be victims

In 2019, 79% of all intimate partner cases in Canada were against women

Question 15

Phases of Denial

Answer 15

Tension Building, Acute Explosion, Honeymoon phase

Question 16

Characteristics of vulnerable persons

Answer 16

Women- Pregnancy may trigger or increase violence.

Violence may escalate when wife makes move toward independence.

Greatest risk for violence when the woman attempts to leave the relationship

Question 17

Nursing role if suspected abuse?

Answer 17

If abuse is suspected, assess the suspected victim away from their abuser.
Ask direct questions
Assure them that they are not alone; convey concern and respect for the victim. Assure them that they are not the cause of the abuse
Preserve evidence of abuse, if applicable
Consider the need for psychotherapy or other supports to help identify positive coping strategies
Assist with the development of a safety plan

Question 18

Emergency Protection order

Answer 18

Granted in the event that there is evidence of domestic violence and the situation is serious and urgent

An order takes into account previous history, immediate danger, and the best interest of the victim, child, or person in the victim’s care

May be approved by a justice of the peace

Remains in effect for up to 30 days and is reviewed by the Supreme Court of Nova Scotia

Question 19

Elimination

Answer 19

Excretion of waste products

Question 20

Age related considerations in children

Answer 20

Lack sphincter muscle control, need to be toilet trained

Question 21

Age related consideration with pregnancy

Answer 21

Fetus increases pressure on bladder, have increased blood volume, peristalsis effected, increased iron needs

Question 22

Age related considerations with old age

Answer 22

Renal good flow reduced, nephron functioning declines reduced renal reserve, urine volume able to be held is reduced, urethra muscles weaken and may have muscle atrophy

Question 23

Nephron

Answer 23

Main functional unit of the kidney. Each nephron is composed of blood vessels and renal tubules. Each kidney has over 1 million nephrons

Question 24

Hows urine made? Glomerular filtration

Answer 24

Blood comes to the kidneys via the renal artery they than branch into smaller arteries, arterioles then capillaries called glomerulus

glomerulus- nave semipermeable membrane that filters blood into the bowman’s capsule (c shape structure of renal tubes)