Test 3 - Violence Assessment Flashcards

1
Q

Intimate Partner Violence defined by CDC…

A

psychological or emotional abuse or coercive tactics after prior previous physical violence between people in some type of a relationship

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2
Q

4 aspects of Intimate Partner Violence defined by CDC…

A
  1. physical violence
  2. sexual violence
  3. stalking
  4. psychological aggression
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3
Q

adolescent dating violence defined by CDC

A

physical, sexual, psychological, emotional violence…abuse may occur in person or electronically…may occur with former or present partner

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4
Q

there is no validated screening tool for adolescent abuse…true or false

A

true

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5
Q

risk factors for adolescent abuse in both genders…

A
  • alcohol/substance abuse
  • early onset of sexual activity
  • signs of mental illness or poor performance at school
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6
Q

Pertinent questions for adolescent abuse…

A
  • have you felt unsafe in relationships
  • is a partner from a previous relationship making you feel unsafe now
  • have you ever been hurt when partner has been angry
  • has it ever left a mark or bruise
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7
Q

Routine Screening for Intimate Partner Violence (IPV)…

A

asking every woman at every health care encounter if she has been abused by husband, boyfriend, or other intimate partner

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8
Q

Assessing for IPV, start questions with…

lets patient know they are not being singled out

A

“because domestic violence is so common in our society, we are asking all women the following…”

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9
Q

if a woman answers yes to any question of the Abuse Assessment Screen (AAS)…

A

we assess how recent and how serious abuse was

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10
Q

Procedure of assessment…

A
  • appropriate to show signs of concern depending on the gravity of the abuse
  • always convey the message that it is not the women’s fault
  • reassure that help is possible
  • inform that several health problems accompany domestic abuse and it is necessary to conduct a thorough assessment
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11
Q

IPV assessment, HITS…

A
  1. physically Hurt you
  2. Insult or talk down to you
  3. Threaten you with harm
  4. Scream or curse at you
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12
Q

IPV assessment, STaT

A
  1. have you ever been in a relationship where your partner has pushed or Slapped you?
  2. have you ever been in a relationship your partner Threatened you?
  3. have you ever been in a relationship partner has Thrown, broken, or punched things?
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13
Q

signs of IPV even when it has been denied…

A
  • gynecologic problems (STIs), pelvic pain, sexual dysfunction
  • chronic IBS, back pain, depression, PTSD, problems sleeping, panic attacks
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14
Q

lifetime prevalence of IPV occurs significantly higher among racial and ethnic minorities true or false…

A

true

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15
Q

IPV factors among ethnic and racial minorities…

A

societal stressors, legal regulations, lack of access, cultural values and gender roles

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16
Q

to assess risk of homicide we use…

A

Danger Assessment tool

17
Q

what is the Danger Assessment tool…

A
  • 19-item yes/no instrument used extensively by nurses in the health care system
  • starts with calendar so women can see progression of abuse
  • excellent assessment for severity and frequency
18
Q

Child Abuse and Prevention Treatment Act (CAPTA)…

A

dictates minimum standards that must be incorporated into state statuses…usually: neglect, physical, sexual, emotional abuse

19
Q

Screening for child abuse and neglect–questions about medical history…

A
  • previous hospitalizations, injuries, chronic conditions?
  • medications that cause easy bruising?
  • repeated visits to hospital?
  • delays seeking care for other than minor injury?
20
Q

if the child is verbal, history should be obtained away from caretakers and open-ended questions used, true false…

A

true