test 3 abuse Flashcards
1
Q
contributing factors to abuse-5
A
- societal influences
- historical attitudes
- social isolation
- use and abuse of power
- alcohol and drug abuse
2
Q
effects of intimate partner violence-4
A
- secondary effects-anxiety, depression, suicide
- PTSD
- kids-behavioral and emotional problems
- teens-problems w law and school
3
Q
cycle of violence-3
A
- phase 1- tension building
- phase 2- acute battering incident
- honeymoon
4
Q
stress related indicators of abuse-6
A
IBS, HA, sexual dysfunction, eating prob, depression w SI, PTSD
5
Q
RN diagnoses w abuse-2
A
- powelessness
2. risk for suicide
6
Q
interventions for abuse-3
A
- est therapeutic rel by staying w her
- assign same caregiver, keep committments
- provide encouragement and support
7
Q
children who are most likely to be abused-5
A
- under 3
- percieved as different
- remind parent of someone they don’t like
- are the product of unwanted pregnancy
- don’t meet fantasy expectations
8
Q
behavioral indicators of abuse in children-9
A
- extremes in behavior
- inappropriate adult/infantile
- delay in physical/emotional dev
- suicidal/self destructive
- anxiety/nightmares
- social isolation
- vandalism/stealing
- rocking/thumb sucking/enuresis
- anorexia in teens
9
Q
sexual abuse rn diagnoses
A
risk for delayed development r/t abusive fy sit
10
Q
rn diagnoses elder adult abuse-2
A
- risk for trauma r/t caregiver role strain
2. caregiver role strain r/t severity and duration of illness
11
Q
survivor response to rape-4
A
- expressed- fear anger, anxiety
- controlled- feelings masked or hidden
- compounded- additional symptoms of depression, SI, substance, exacerbation of psychiatric/medical illness
- silent- tells no one, burden becomes overwhelming
12
Q
empathy process/stages RN experiences when working w rape victim-4
A
- identification- attentive to pt expression of shame and guilt, absorbed in story-> temporary
- incorporation- imagines what pt going through
- reverberation- feels sadness for pt
- detatchment- seperation or w/d of subjective involvement and resumption of one’s own identity
13
Q
documentation language-4
A
- reported vs alledged
- declined vs refused
- penetration vs intercoarse
- description of behavior vs in no acute distress
14
Q
rape trauma syndrome-acute phase-2
A
- initial emotional/impact reaction- fear of physical violence and death, denial anxiety, humiliation, revenge, self-blame, guilt
- expressed style-overt
- controlled style-ambiguous - somatic reaction- expected in following weeks
- bruise/sore, HA, muscle tension, sleep distubance, nausea, anorexia, diarrhea, vaginal pain/discomfort
15
Q
rape trauma syndrome-long term reorganization phase-8
A
- reexperiencing the trauma
- emotional w/d
- avoidance behaviors and actions
- increased emotional arousal char
- fears and phobias
- nightmares and diff sleeping
- may include compounded reactions
- 2 or more weeks after
