Interpersonal Violence

Question 1

Forms of abuse?

Answer 1

Emotional/psychological abuse, economic/financial abuse, ritual abuse, physical abuse, sexual abuse, religious abuse, and coercive control.

Question 2

What is interpersonal violence?

Answer 2

Involves abuse of power and violation of a position of trust. Behaviour by one person against another in an intimate relationship that endangers the person’s survival, security, or wellbeing. Doesn’t have an age limit

Question 3

Saskatchewan statistics?

Answer 3

Rate of violence against women is almost double the national average and Sask has most rates of intimate partner violence/sexual offences compared to other provinces.

Question 4

Violence during pregnancy?

Answer 4

Ranges from 4-17%. Women who are abused during pregnancy are 4x as likely to experience physical violence

Question 5

Abuse of elderly?

Answer 5

They are most likely to be victimized by adult child or current/former spouse. Types of abuse they experience are physical/sexual, financial, psychological or emotional, and neglect.

Question 6

Adults who experience abuse are more likely to?

Answer 6

Become smokers, become obsessed, become alcoholics, develop drug addiction, and become suicidal

Question 7

Cycle of violence stages?

Answer 7

1. Tension builds and escalates
2. Violence incident- blow up
3. Absence of Violence- remorse/romance phase

Question 8

Tension building phase?

Answer 8

Duration can vary. The initial infatuation of relationship fades. The abuser will start to exhibit aggressive/abusive tendencies. The victim attempts to stop aggression by pleasing/staying out of way. When this doesn’t work, the victim withdraws. The abuser will feel rejected and try harder to control victim’s activities.

Question 9

Traits of abuser and victim in tension building phase?

Answer 9

A- jealousy, actions that isolate victim, rule changing, name calling, dominating
V- use of calming techniques, minimize abusers behaviour, anger suppression, fatigue, confusion, self doubt, withdrawal, fear

Question 10

Violent incident phase ?

Answer 10

There is physical/emotional/sexual/spiritual abuse. The incident relieves the stress/tension of abuser. The perpetrator will feel instant relief and victim experiences shock/denial. Police usually involved at this stage and victim could seek safe shelter

Question 11

Traits of abuser and victim in violent incident phase?

Answer 11

A- anger, assault of victim uncontrolled tension, exhaustion
V- fear, anger, may call police/seek safety

Question 12

Remorse and romance phase of the cycle?

Answer 12

Abuser become tender/apolegtic. May try to give gifts and say it a one time event. Abuser may take action to demonstrate willingness to change (i.e. rehab). Lots of women return to abuser during this phase b/c they believe the abuser to be sincere.

Question 13

Traits of abuser and victim in phase 3?

Answer 13

A- apologetic, makes promises, shows insecurities, loving, demonstrates dependency on viticulture
V- guilt, hope, loneliness, low self esteem, dependency

Question 14

What are some reasons that women stay? 9 Fs

Answer 14

Fear of injury, finances, their faith, fatigue, fantasy/forgiveness, its familiar, father, family, and foresight

Question 15

Goal of nursing interventions in r/t interpersonal violence?

Answer 15

1. Empower the client to take control
2. To provide support
3. To maximize safety

Question 16

Role of the nurse in screening pt for violence?

Answer 16

Ask the question specifically, acknowledge the abuse, validate their experiences, access immediate safety, explore options they have, refer to services at victims request, and document interaction

Question 17

ABCD-ER- guiding principles for screening?

Answer 17

A- attitude/approachabiltiy of HCP
B- belief in women’s account of her experience
C- confidentiality is essential for disclosure (can’t always guarantee it)
D- documentation (consistent and legible)
E- education about effects of violence/abuse
R- recognition that dealing with violence/abuse has to be at their pace/directed by their decisions

Question 18

Documentation for violence?

Answer 18

Document quotes, observed behaviour, physical assessment/interventions. Be accurate and doc as soon as possible. Can photograph injuries with clients permission. Be objective and quote the client when possible

Question 19

What nursing actions jeopardize your relationship with the victim?

Answer 19

Telling people what to do, blaming the victim, violating confidentiality, and confronting the abuser about the abuse.

Question 20

Challenges of a rural setting r/t family violence?

Answer 20

Lack of access to public transport/phone service, decrease confidentiality, lack of services, increased number of weapons in home (like hunting), and fewer resources (employment, childcare…)

Question 21

What is the age of consent for sexual activity in Canada?

Answer 21

16 yrs

Question 22

Nursing responsibility for child abuse?

Answer 22

Must report cases in which they suspect/know a child (>18) is or may be suffering abuse. Child protection overrides obligation to confidentiality. You aren’t expected to determine if child is being abused but you have legal duty to report it.

Question 23

Who can you report violence to?

Answer 23

Social services child protection, community crisis centre, police officer, FN child/family service agency

Question 24

Do you have to report abuse against elderly?

Answer 24

Reporting is not mandatory unlike child abuse.