Intimate Partner Violence Flashcards
assaultive and coercive behavior that may include physical, sexual, or psychological abuse, stalking, deprivation, intimidation, and reproductive coercion.
intimate partner violence
unwanted kissing, untouching, or fondling, sexual coercion, and rape
sexual abuse
sabotage contraceptive efforts, intentionally exposing a partner to an STD, control the outcome of a pregnancy, control access to reproductive health services
reproductive coercion
in an abusive relationship, violence is frequently associated with _____ use.
alcohol
what kind of bruising is present in violence?
bruises in varying stages of healing
what is the mnemonic to screen a patient by asking questions?
S - does the patient feel safe?
A - has the patient felt abused by her partner?
F - are friends or family available for support?
E - is there a plan in case of emergency?
what is the mnemonic for rules of screening a patient?
R - routinely ask
A - ask directly
D - document findings
A - assess safety
R - review options and refer
do most states have mandatory reporting of intimate partner violence?
no
what are 6 reasons the victim doesn’t leave?
fear
isolation
financial
lack of social support
inability of law enforcement to protect her
fear of legal proceedings
the penetration, no matter how slight, of the vagina or anus with any body part of object, or oral penetration by a sex organ of another person, without the consent of the vitim
rape
who performs the exam for a victim of sexual abuse? (3)
ER physician
OB/GYN
SANE
what are the 4 benefits of SANE?
improved quality of forensic evidence
protection of chain of evidence
expedite evaluation and referral to community services
improved sensitivity to psychological trauma
what are the 2 common areas of anogenital trauma?
labia minora
posterior vagina
what diagnostic can aid in evaluation of a victim of sexual assault?
colposcopy
forensic evaluation may be collected up to __-__ days after the sexual assault
5-7
what is NOT mandatory as part of the sexual assault physical exam?
STI testing
what are the 4 treatments for a victim of sexual assault?
treat physical injuries
STI prophylaxis
emergency contraception
psychosocial care
when should a follow up be done for a victim of sexual assault?
1-2 weeks
when should we offer repeat serology testing for a victim of sexual assault? (2)
4-6 weeks
3 months
a long-term consequence of sexual assault that is characterized by shock, confusion, anxiety, fear, sleep disturbance, and humiliation.
rape trauma syndrome
phase of rape trauma syndrome characterized by shock, confusion, anxiety, fear, sleep disturbance, humiliation that lasts days to weeks.
acute phase (disorganization phase)
phase of rape trauma syndrome characterized by changes in lifestyle, daily habits, and social life, somatization, sleep disturbances, shame, and guilt.
delayed phase (reorganization)