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Women's Health > Psych > Flashcards

Psych Flashcards

1
Q

What is NSSI (non-suicidal self-injury)?

A 
4 part definition
1) deliberate harming of one's body
2) resulting in tissue damage
3) NO suicidal intent
4) NOT culturally sanctioned
INTENSE EMOTION is involved
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2
Q

Do people who practice NSSI have ‘accidental death’?

A

not likely

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3
Q

What are examples of NSSI?

A 
cutting, burning
hitting, bruising
scratching, pinching, rubbing
biting
broken bones
"accidents"
ingesting, embedding toxic substances or foreign objects
food restriction/overconsumption
hair pulling
cuticles, fingers, inside of mouth
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4
Q

Why do people do NSSI?

A 
distract from EMOTIONAL PAIN
self punishment 
relieve tension
euphoria 
to "numb"
to "feel real" --> alerting the brain where the body is
communicate pain, anger, or others
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5
Q

NSSI myths?

A 
failed suicide attempt
injury isnt bad so its not serious
self injury is just an attempt to get attn
sign person was abused
do not feel pain 
phase that people grow out of
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6
Q

Tips for those who practice NSSI?

A 
talk
butterfly project/to write love on her arms 
ID triggers and protect when triggered 
positive releases - exercise 
one day at a time
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7
Q

Tips for WORKING w/ pts who practice NSSI?

A 
compassion
listen
judgements
educate
respond w/ professionalism and honesty 
supportive action
positive action, self-care
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8
Q

Domestic violence and emotional abuse used by?

A

person in a relationship to control the other

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9
Q

What is the cycle of violence?

A

tension building –> acute explosion –> honeymoon

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10
Q

What is tension building abuser vs victim?

A

abuser:
-nitpicking
-yelling
victim:
-attempts to calm and reason
-satisfy w/food

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11
Q

What are examples of abuse?

A 
name calling
putdowns
public humiliation 
withholding money 
limiting actions (no socializing, family contact)
actual/threatening physical harm
sexual assault
stalking
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12
Q

What is acute explosion abuser vs victim?

A 
abuser:
-verbally abuses and humiliates
-physical abuse 
victim:
-protects self
-reason
-leaves/fights back
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13
Q

What is honeymoon abuser vs victim?

A 
abuser:
-apologizes 
-justify behavior 
-blames drugs/alcohol
-declares love
-threatens suicide
victim:
-agrees to return
-forgive
-hopeful
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14
Q

Who is the most vulnerable for DV?

A

pregnancy

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15
Q

How common is DV?

A

1 cause of injury

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16
Q

What is sexual assault?

A

unwanted

non consensual sexual contact

17
Q

What is the perpetrator’s motivation - sexual assault?

A

power, control, dominance

18
Q

What is child sexual abuse?

A

adult or another child manipulates, threatens, or forces a child into sexual activity
take advantage of trust

19
Q

Is physical force necessary in child abuse?

A

no

20
Q

Who is at the highest risk for DV?

A

transgender women

21
Q

What is limit of confidentiality?

A

screening for intimate partner violence w/out discussing LOC is unethical if provider is obligated to break confidentiality and force patient to accept involvement of police

22
Q

What does AMA say about LOC?

A

if there is NO immediate risk then it is unethical for provider to break confidentiality without patient consent

23
Q

What is SAVER?

A 
Screen all pts
Ask non judgmental questions
Validate the patient
Evaluate reasonable risk/benefit
Refer for appropriate tx/intervention
24
Q

What is the goal for DV?

A

respect self-determination

validation

25
Q

“Stay together for the kids”

A

BAD

modeling: disrespect, normalizing abuse

26
Q

What is important to note about caregivers?

A

they suffer more b/c they are not taking care of themselves

27
Q

What is the number killer for women?

A

CVD

28
Q

What is important to keep in mind w/females and sex?

A

they are sexual active

29
Q

Gender roles?

A

social and behavioral norms considered socially appropriate for individual based on sex

30
Q

What is important to keep in mind when taking hx?

A

suicide

31
Q

What are the 5 stages of grief?

A

1) denial
2) anger
3) bargaining
4) depression
5) acceptance

32
Q

What are the 3 abnormal grief?

A

1) chronic/dependent grief - very common
2) distorted/unexpected loss grief - 3V’s violence, violation, volition: REJECTION or “my fault”
3) delayed/conflicted grief: “should be happy but sad - why?”

33
Q

How to work w/ grief?

A 
NEAR
Neutral - stay in PRESENT
Empathy 
Attentiveness
Respect

Women's Health (10 decks)

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