Test 10 ABUSE Flashcards
- Anorexia Nervosa: causes
« Distorted body image
« Biological factors and genetics
« Psychological factors
« Traumatic event (sexual abuse or bullying)
« The cause of anorexia is also a manifestation***
- Anorexia Nervosa manifestations
« Excessive weight loss, usually more than 25% of body weight prior to dieting
« Refusal to maintain normal weight.
« Intense fear of being fat
« Restricting food intake often to only 200–300 calories per day
« Excessive exercise
« Obsessive thoughts
« Perfectionism
« Absence of menstrual cycle (women)
« Distorted body image
« Physical signs can include slow pulse rate, electrolyte imbalances, fatigue, dry skin, and lanugo (fine body hair)
- Anorexia Nervosa: nursing goals including initial one.
« Returning to normal weight
« Stopping abnormal eating behaviors
« Dismantling unhealthy thoughts
« Treating comorbidities
« Planning for relapse prevention
- Bulimia: manifestations
« Extreme dieting
« Use and abuse of laxatives or syrup of ipecac (to induce vomiting)
« Use and abuse of diuretics.
« Obsession with food and eating.
« Poor self-concept
« Thoughts of harming self
« Routine use of bathroom immediately after eating
« Erosion of tooth enamel or hoarseness from vomiting
« Extreme sensitivity to body shape and weight
« Poor self-concept
« Likely to appear normal weight or slightly overweight.
« Impulsive
« Feeling depressed, guilty, worthless
- Bulimia: complications
« Cardiac arrhythmias*
« Electrolyte imbalance*
« Dehydration
« Tears in the gastric or esophageal mucosa
« Dental erosions
- Name the initial Nursing Goal when caring for patients with eating disorders.
Establish trust
- Define the following terms: Abuse
Physical, verbal, or emotional mistreatment of self or others; misuse of chemicals, food, or other substances.
- Define the following terms: Victim
A person who is harmed by another.
- In what area is violence being reported more frequently?
« Workplace
- What effect might culture have on abuse issues?
« Abuse crosses all cultural, ethnic, and socioeconomic groups. At times, some behaviors may appear abusive to us but are culturally appropriate. For example, in some cultures, men expect their wife’s subservience. This cultural norm needs to be taken into consideration before assuming the wife is being abused.
- How does alcohol influence the ability to abuse?
« Being under the influence of a substance is a major contributor to violence. When a person’s judgment is impaired and his or her ability to control impulses is altered, a person who is prone to these acts may abuse others.
- Who is at highest risk to become an abuser?
« History of being a victim
« Low self-esteem/need for power
« Impairment from alcohol/substance use
« Biological theories (Brain disorder)
« May be under stress (e.g., poverty, pressures of the job)
« Have limited access to support resources to deal with problems.
« Limited coping mechanisms to deal with conflict.
« Difficulty trusting others.
- Define the following terms: Sexual Abuse
Unwanted sexual contact.
- Define the following terms: Sexual Harassment
Unwanted sexual innuendo, often inflicted by a workplace superior on an employee or a subordinate.
- Define the following terms: Incest
Sexual activity between people who are so closely related that marriage is illegal.
- Define the following terms: Rape
Violent sexual act that is performed against one’s will.
- Define the following terms: Date Rape
Unwanted sexual intercourse between people who are acquainted and in which the party who pays for the date expects sex in return.
- Define the following terms: Physical Abuse
Any actions by omission or commission that cause physical harm to another.
- What is the best form of therapy for an abused child?
« Art and drawing therapy.
- What effect does socio-economic status have on reporting spousal abuse?
« Victims tend to under-report the abuse*
- What is elder abuse?
« Physical, emotional, sexual abuse and economic of older adults.
- Abuser is usually in a caregiver role (including hired caregiver or family).
- Victim often dependent on abuser
- Victims reports of abuse may be ignored.
- What is Respite Care?
« Relief supplied to primary caregivers.
- List the general Nursing Actions to help abused persons.
« To help abused person, report it yourself***
« Ensure safety.
« Know your own thoughts and feelings about abuse.
« Remain nonjudgmental/show empathy.
« Know your agency policy and use your resources.
