Survivors of abuse and neglect

Question 1

what is abuse?

Answer 1

Maltreatment of one person by another
Most injuries attributed to intimate partner violence

Question 2

who does abuse impact?

Answer 2

Abuse affects all populations equally
Abuse affects all races, religions, economic classes, ages, and educational backgrounds
Patterns of abuse
Laws exist to protect children and the elderly

Question 3

factors of assessment for abuse

Answer 3

Battering
Intimate partner violence
Profile of the victim (Any age, racial, religious, cultural, educational, and socioeconomic group)
Low self-esteem
Inadequate support systems
Possibly raised in abusive homes

Question 4

cycle of battering: phase I

Answer 4

tension - building phase

Question 5

cycle of battering: phase II

Answer 5

acute battering incident

Question 6

cycle of battering: phase III

Answer 6

Calm, loving, respite (honeymoon) phase

Question 7

why do those experiencing abuse stay?

Answer 7

Fear
Lack of financial resources
Lack of a support network
Cultural/religious reasons
Lack of attention to danger
Hopefulness

Question 8

signs of physical child abuse

Answer 8

Unexplained injuries
Fading bruises or other marks
Child is frightened of adults
Shrinks at approach of adults
Child reports injury by parent or caregiver
Abuses animals or pets

Question 9

Physical child abuse may be suspected when the parent or other adult caregiver:

Answer 9

Conflicting, unconvincing, or no explanation for child’s injury
Describes child as “evil,” or in very negative way
Uses harsh physical discipline with the child
Has a history of abuse as a child
Has a history of abusing animals or pets

Question 10

indicators of child emotional abuse

Answer 10

Extremes of behavior
Inappropriately adult or infantile behavior
Delays in physical or emotional development
Suicide attempts
Lack of attachment to the parent

Question 11

Emotional child abuse may be suspected when the parent or other adult caregiver:

Answer 11

Constantly blames, belittles, or berates the child
Is unconcerned about the child and refuses to consider offers of help for the child’s problems
Overtly rejects the child

Question 12

physical neglect of a child

Answer 12

Refusal of or delay in seeking health care
Abandonment
Expulsion from the home or refusal to allow a runaway to return home
Inadequate supervision

Question 13

emotional neglect of children

Answer 13

Chronic failure by parent or caretaker to provide child with hope, love, and support necessary for development of a sound, healthy personality

Question 14

behavioral indicators of neglect

Answer 14

Is frequently absent from school
Begs or steals food or money
Lacks needed medical or dental care, immunizations, or glasses
Is consistently dirty and has severe body odor
Lacks sufficient clothing for the weather
Abuses alcohol or other drugs
States that there is no one at home to provide care

Question 15

The possibility of neglect may be considered when the parent or other adult caregiver:

Answer 15

Appears to be indifferent to the child
Seems apathetic or depressed
Behaves irrationally or in a bizarre manner
Is abusing alcohol or other drugs

Question 16

indicators of sexual abuse

Answer 16

Has difficulty walking or sitting
Suddenly refuses to change for gym or to participate in physical activities
Reports nightmares or bedwetting
Experiences a sudden change in appetite
Bizarre, sophisticated, or unusual sexual behavior
Becomes pregnant or contracts a STD
Runs away
Reports sexual abuse
Attaches quickly to strangers

Question 17

Sexual violence includes any act of:

Answer 17

Sexual coercion including penetration
Unwanted sexual contact
Noncontact unwanted sexual experiences
rape

Question 18

long term effects of rape depends largely on:q

Answer 18

Social support system
Coping mechanisms
Way he or she was treated as a victim

Question 19

Two emotional patterns of response that may occur within hours after a rape

Answer 19

Expressed response pattern - angry, sad, depressed, guilty, etc
Controlled response pattern - feeling numb

Question 20

manifestations of sexual violence

Answer 20

Contusions and abrasions-various body parts
Headaches, fatigue, sleep disturbances
Stomach pains, nausea and vomiting
Vaginal discharge and itching, burning upon urination, rectal bleeding and pain
Rage, humiliation, embarrassment, desire for revenge, and self-blame
Fear of physical violence and death

Question 21

Nursing diagnoses for the client who has been abused may include

Answer 21

Rape-trauma syndrome
Powerlessness
Risk for delayed development

Question 22

outcome identification for client who has been sexually assaulted:

Answer 22

Is no longer experiencing panic anxiety.
Demonstrates a degree of trust in the primary nurse.
Has received immediate attention to physical injuries.

Question 23

outcome identification of client who has been physically battered:

Answer 23

Has received immediate attention to physical injuries.
Verbalizes assurance of his or her immediate safety.
Can verbalize choices from which he or she may receive assistance.

Question 24

planning for victems of abuse

Answer 24

Provide shelter
Promote reassurance of his or her safety
Tending to physical injuries
Staying with the client to provide security
Assisting the client to recognize options
Promoting trust
Reporting to authorities when there is reason to suspect child abuse or neglect

Question 25

evaluation questions for victims of abuse

Answer 25

Has individual been reassured of safety?
Have wounds been properly cared for and provision made for follow-up care?
Have emotional needs been attended to?
Have available support systems been identified and notified?
Have options for immediate circumstances been presented?

Question 26

treatment modalities for abuse

Answer 26

Crisis intervention
Safe house or shelter
Family therapy
SANE Nursing