survivors of abuse

Question 1

two distinct types of aggression

Answer 1

reactive and proactive

Question 2

type of aggression: associated with impulsivity, more common in those with a hx of being abused

Answer 2

reactive

Question 3

type of aggression: initiated, not provoked, psychopathology

Answer 3

proactive

Question 4

5 types of abuse

Answer 4

physical
sexual
emotional
neglect
economic

Question 5

type of abuse: Infliction of bodily harm
Slapping, hitting, punching, restraining, choking, pushing, biting

Answer 5

physical

Question 6

type of abuse: Any form of contact or exposure without consent, or when the victim is incapable of giving consent

Answer 6

sexual assault

Question 7

type of abuse: Infliction of mental anguish
Threatening, intimidating, humiliating, isolating

Answer 7

emotional abuse

Question 8

type of abuse: Failure to provide physical, emotional, educational, or medical needs

Answer 8

neglect

Question 9

type of abuse: Controlling access to economic resources

Answer 9

economic

Question 10

3 secondary effects of violence

Answer 10

-anxiety
-depression & suicidal ideation
-PTSD

Question 11

3 requirements for an occurrence of violence

Answer 11

-perpetrator
- vulnerable person
-crisis situation

Question 12

biological theories of the abuser

Answer 12

• lower amygdala volume (impulse control)
• elevated dopamine levels (aggression)
• organic brain syndrome (tumor, brain trauma, epilepsy

Question 13

3 stages of intimate partner violence

Answer 13

1- tension building
2- acute battering
3- honeymoon

Question 14

intimate partner violence phase: Relatively minor incidents (verbal abuse, pushing)
Both try to reduce tension:
Victim ignores, accepts, minimizes
Fear-based response
Abuser rationalizes

Answer 14

phase 1- tension building

Question 15

intimate partner violence phase: Unbearable tension building
Victim may “provoke” to reduce tension
Victim may try to cover injury or get help
Serious injury

Answer 15

phase 2 acute battering phase

Question 16

intimate partner violence phase: Abuser
initially apologetic, loving, kind, makes promises
Victim:
trusting, hopeful for change, wants to believe partner’s promises

Answer 16

phase 3 honeymoon stage

Question 17

Early Impact On Children:
Behavioral, social, and emotional problems

Answer 17

higher levels of aggression, anger, hostility, oppositional behavior, and disobedience; fear, anxiety, withdrawal, and depression; poor peer, sibling, and social relationships; low self-esteem.

Question 18

Early Impact On Children: Cognitive and attitudinal problems

Answer 18

Lower cognitive functioning, poor school performance, lack of
Conflict resolution skills, limited problem-solving skills, acceptance of violent behaviors and attitudes, belief in rigid gender stereotypes and male privilege.

Question 19

3 types of abuse of a child

Answer 19

physical
emotional
sexual

Question 20

a form of abuse is when you neglect to give the child the tools he will need to survive as an adult

Answer 20

neglect

Question 21

refusal or delay in accessing health care, abandonment, expulsion from the home, inadequate supervision

Answer 21

physical neglect

Question 22

Chronic failure to provide hope, love, and support necessary to thrive

Answer 22

emotional neglect

Question 23

Characteristics Of Vulnerable Persons: Older Adults

Answer 23

Poor mental or physical health
Dependent on perpetrator
Commonly: female, older than 75 years, white, living with a relative, impaired

Question 24

primary themes of sexual assault

Answer 24

power & control

Question 25

response pattern: the survivor expresses fear, anger, anxiety, crying.

Answer 25

expressed response pattern

Question 26

response pattern: the feelings are hidden or masked and survivor appears calm, composed

Answer 26

Controlled response pattern

Question 27

2 phases of sexual assault

Answer 27

acute phase
adjustment phase

Question 28

sexual assault phase: Occurs immediately following the assault
May last for 2 weeks
Symptoms
Shock
Numbness
Disbelief
Disorganization in lifestyle
cognitive impairment with confusion
Poor concentration
poor decision making
Somatic symptoms.
Hysteria, restlessness, crying, smiling may be noted.
Denial after assault is a protective action to give the person time to prepare for reality

Answer 28

acute phase

Question 29

sexual assault phase: Occurs 2 or more weeks after the rape
Nurses can help the patient prepare for reactions that are likely to occur, such as intrusive thoughts of the event; flashbacks; dreams (nightmares); insomnia; increased motor activity; anxiety; mood swings; development of fears and phobias (e.g., fear of indoors or outdoors, being alone, crowds, sexual activity)

Answer 29

adjustment phase

Question 30

primary prevention of abuse

Answer 30

Measures taken to prevent the occurrence of abuse

Question 31

secondary prevention of abuse

Answer 31

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

Question 32

tertiary prevention of abuse

Answer 32

Facilitating the healing and rehabilitative processi
Providing support
Assisting survivors of violence to achieve their optimal level of safety, health, and well-being
-pattern of abuse established