objective 13

Question 1

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

Answer 1

violence

Question 2

An emotional response to frustration of desires, threat to one’s
needs (emotional or physical), or a challenge

Answer 2

anger

Question 3

Action or behaviour that results in verbal or physical attack

Answer 3

aggression

Question 4

a term used for legal purposes to describe violence
perpetrated against children and dependent adults

Answer 4

abuse

Question 5

used to describe the intentional threat of application of force to
another person (can be physical or sexual in nature

Answer 5

assault

Question 6

• A behaviour intended primarily, but not solely, to do physical harm to
  someone or something
• Aggression in its extreme form.
• An act can be planned or spontaneous.
• Can be used to dominate; to exert power and control over others; and
  to exact revenge

Answer 6

violence

Question 7

• An uncontrollable, violent state of anger and is quite uncommon.
• An individual in this stage cannot think clearly or logically, and
  psychosocial or cognitive behavioural interventions are not possible

Answer 7

rage

Question 8

• Those who initiate violence, often consider their own needs to be
  more important than anyone else’s and look to others to meet
  their needs.
• The term applies to any member of a household who is violent
  toward another member (ex. Children, siblings, partners,
  extended family members)

Answer 8

perpetrators

Question 9

This term recognizes the recovery and healing process that
follows victimization and does not have the connotation of
passivity that “victim” has

Answer 9

survivor

Question 10

• Referred to a maltreatment
• Defined as any recent act or failure to act, resulting in
  imminent risk of serious physical harm or death; emotional
  harm, sexual abuse, neglect or exploitation of a child under
  the age of 18 by a parent, caretaker or other person

Answer 10

child abuse

Question 11

• Biologic mother (90%), biologic father (5%), or female caregiver
  (5%) fabricates or deliberately causes an illness or injury in the
  child in order to gain sympathy for themselves

Answer 11

munchausen’s syndrome by proxy

Question 12

• Child abuse- leading cause of brain injuries to infants.
• Adult loses control and violently shakes child why has been
  crying.

Answer 12

shaken baby syndrome

Question 13

• Failure to provide for a child’s basic physical, medical or
  educational needs.
• Abandonment of a child or lack of adequate supervision are
  also considered neglect
• Emotional neglect – Failure to thrive

Answer 13

child neglect

Question 14

Includes fondling of a child’s genitals, intercourse, incest, rape, sodomy,
exhibitionism and commercial exploitation through prostitution or production of
pornographic materials

Answer 14

child sexual abuse

Question 15

Consists of verbal assaults or threats that cause fear, poor
communication

Answer 15

emotional abuse or neglect

Question 16

• Includes sexual harassment, stalking,
  sexual coercion and rape.
• Sexual harassment is defined as
  unwelcome, sexual advances or
  conduct on the job that creates an
  uncomfortable working environment.
• Stalking is defined as a pattern of
  unwanted communication.
• 5 types of stalkers
• Sexual coercion is defined as incidents
  in which one dominant person forces
  another to perform sexual acts

Answer 16

adult sexual abuse

Question 17

what are the elements necessary to legally define rape?

Answer 17

1. Use of force, threat, intimidation or duress.
2. Vaginal, oral or anal penetration.
3. No consent by the victim

Question 18

a variant of PTSD and consists of an acute
phase and a long-term reorganization process that occurs after an actual
or attempted sexual assault.
* Each phase has separate symptoms

Answer 18

rape-trauma syndrome

Question 19

occurs immediately after the
assault and may last 2 to 3 weeks.
* At this stage, patients usually are seen by emergency department personnel
and, if available, the sexual assault nurse examiner (SANE), who is most
involved in dealing with initial reactions.
* During this phase, there is a great deal of disorganization in the person’s
life, and somatic symptoms are common.
* This disorganization can be described in terms of impact, somatic, and
emotional reactions

Answer 19

acute phase (RTS)

Question 20

occurs 2 or
more weeks after the sexual assault.
* Nurses who care for survivors during the acute phase can help them
anticipate and prepare for the reactions they are likely to experience during
this later phase, which include the following:
* Intrusive thoughts of the sexual assault that break into the survivor’s conscious
mind both during the day and during sleep. These thoughts commonly include
visions of violence toward the assailant, flashbacks (re-experiencing the
traumatic event), or dreams with violent content contributing to insomnia, and
incite emotions such as anger.
* Increased activity, such as moving, taking trips, changing telephone numbers,
and making frequent visits to old friends. This activity stems from the fear that
the assailant will return.
* Increased emotional lability, including intense anxiety, mood swings, crying
spells, and depression.

Answer 20

long-term reorganization phase (RTS)

Question 21

Unexplained cuts, bruises; scars; burns; wounds around head,
face, chest, arms, abdomen, back, buttocks, and genitalia

Answer 21

physical violence

Question 22

Bruising or injury around genitalia and presence of urinary
tract infection

Answer 22

sexual violence

Question 23

When someone used threats and causes fear in an individual
to gain control

Answer 23

psychological abuse

Question 24

Low self-esteem, anguish, and isolation

Answer 24

emotional violence

Question 25

• Undernourished, dirty, and poorly clothed
• Inadequate medical care is a form of neglect

Answer 25

neglect

Question 26

• Failure to provide basic needs
• The withholding of financial support or the illegal or
  improper exploitation of funds or other resources for one’s
  personal gain

Answer 26

economic violence/ finalcial abuse

Question 27

When someone uses an individual’s spiritual beliefs to
manipulate, dominate, or control that person

Answer 27

spiritual

Question 28

When an individual is harmed as a result of practices that
are part of their culture, religion, or tradition

Answer 28

cultural

Question 29

When an individual is harmed as a result of practices that
are part of their culture, religion, or tradition

Answer 29

verbal

Question 30

• Note nonverbal responses, hesitation, lack of eye contact,
  vague statements, vigilance, inability to relax, sleep
  deprivation, physical signs of chronic stress
• Note defensiveness about loved ones

Answer 30

level of anxiety and coping responses

Question 31

Nurses should show a willingness to listen and avoid
use of a judgmental tone

Answer 31

family coping patterns

Question 32

• Greater risk for homicide if there is a gun in the home or
  when alcohol or drugs are used
• If the perpetrator has been violent previously
• Jealous and obsessive about the relationship and tries to
  control all of victim’s daily activities
• Inquire whether the patient feels safe about going home

Answer 32

homicide potential

Question 33

• Risk for vulnerable person
• Suicide threats by a perpetrator used to manipulate the
  victim

Answer 33

suicide potential

Question 34

• Vulnerable person may self-medicate
• Refer only when sober
• Should not be discharged to the spouse

Answer 34

drug and alcohol use

Question 35

Involuntary confinement alone in a room that the patient is
physically prevented from leaving

Answer 35

seclusion

Question 36

Any manual method, physical or mechanical device,
material, or equipment that restricts freedom of movement

Answer 36

restraints

Question 37

Measures taken to prevent the occurrence of abuse

Answer 37

primary prevention

Question 38

Early intervention in abusive situations to minimize their
disabling or long-term effects

Answer 38

secondary prevention

Question 39

• Facilitating the healing and rehabilitative process
• Providing support
• Assisting survivors of violence to achieve their optimal
  level of safety, health, and well-being

Answer 39

tertiary prevention

Question 40

is the way that people experience and express
themselves as sexual beings

Answer 40

sexuality

Question 41

a person’s sexual identity in relation to
the gender to which they are attracted

Answer 41

sexual orientation

Question 42

Established by the time a child is 3 years old

Answer 42

gender identity

Question 43

characterized by the strong feeling of
being the wrong sex or the feeling that one’s body is
inconsistent with the internal sense of being either male or
female

Answer 43

gender dysphoria