He Hit You??!! Flashcards

1
Q

Tensions building

A

breakdown of communication

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2
Q

Incident

A

verbal, emotional, physical abuse

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3
Q

Reconciliation

A

abuser apologizes

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4
Q

Calm

A

Incident is forgiven

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5
Q

Who evaluates a domestic victim?

A

team effort

med, law, social work, police

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6
Q

Who is likely a victim

A

late prenatal care
frequent ER visits
Noncompliance
Inconsistent explanation of injuries or delay in txt
chronic compliant
How they interact w/ you
partner refuses to the leave the room/answers questions

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7
Q

Where are most injuries located?

A

breast, abdomen, genital

forearms, bruises

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8
Q

What hides violence

A

silence

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9
Q

The most important thing to do?

A

speak up and TALK to the women (she won’t speak up)

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10
Q

SAFE

A

S- does pt feel safe
A- pt felt abused by partner
F- support
E- plan in case of emergency

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11
Q

RADAR

A
R-routinely ask
A- ask directly
D- document findings
A- assess safety
R- review options and refer
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12
Q

Who do we screen?

A

universal screening

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13
Q

What is crucial if legal proceedings will occur

A

Documentation

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14
Q

How should documentation be done?

A

use the patient’s words

be specific

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15
Q

What should be frequently reviewed?

A

exit plan

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16
Q

Reporting abuse?

A

most states DO NOT have mandatory reporting

17
Q

When should a pregnant women be screened for abuse?

A

initial visit, each trimester and at postpartum visit

18
Q

What can long term consequences of abuse lead to?

A

death

19
Q

How do abuse affect a female child?

A

girls identify w/ mother and learn to accept violence

20
Q

How do abuse effect a male child

A

boys identify w/ father or partner and learn that violence and bullying is acceptable

21
Q

What is sexual assault?

A

sexual act that is performed on a person without consent

22
Q

Who is the best provider for handling abuse victims?

A

SANE (Sexual Assault Nurse Evaluation)

23
Q

Who performs the exam?

A

ER physician, OB/GYN, SANE

24
Q

How long after can forensic evaluation be done?

A

up to 1 week after assault

25
Q

Forensic evaluation after assault in Texas?

A

up to 96 hours

26
Q

What are the common areas of anogenital trauma?

A

labia minora and posterior vagina

27
Q

What is a treatment for assault?

A

physical injuries
STD prophylaxis
Emergency contraception
Psychosocial care

28
Q

When is follow up for assault?

A

1-2 weeks in clinic w/ PCP

Repeat HIV @ 72 hrs, 6 weeks, 3 mo and 6 mo

29
Q

What is a long term consequence of assault?

A

cervical cancer
sexual dysfunction
PTSD

30
Q

What is Rape Trauma Syndrome phases?

A

acute phase

delayed phase

31
Q

What happens in the acute phase?

A

shock
confusion
cognitive dysfunction

32
Q

What happens in the delayed phase?

A

shame and guilt

reality of victimization