Violence- EXAM 4

Question 1

Child abuse types

Answer 1

Physical, Neglect, Sexual, Emotional
Children under 4 years old are most vulnerable

Question 2

Assessing the child that’s been abused

Answer 2

Reassure its not their fault
Don’t make them feel pressured to tlak
Nonthreatening and supportive tone
Interview shouldn’t resemble a trial
Do not suggest answers
Do not promise everything is confidential
Do not react with shock to anything
Children may express experience via playing out
Ask open ended questions

Question 3

Characteristics of abusive parents

Answer 3

History of violence, neglect or emotional deprivation
Low self esteem
Poor coping skills
Little or no involvement in social activities
Involved in crisis situation
Frequent harsh punishment
H/o severe mental illness
Violent outbursts
Blames others for problems
Lacks effective parenting skills
Perceives child as bad or evil
H/o drug or alcohol abuse
Low tolerance for frustration
Poor impulse control

Question 4

Leading cause of injury related deaths during pregnancy

Answer 4

Intimate partner violence

Question 5

Battered partner

Answer 5

does not ask to be beaten or enjoys it
lives in terrot
does not usually initiate violence, is usually in self defense
has low self esteem and feeling of powerlessness
Believes if she acts right then abise will stop
contemplates suicide or has done it
contemplates homicide

Question 6

the batterer

Answer 6

Denies abuse occurs, shifts responsibility to partner
belittles, criticizes, insults and undermines partner
limits family and friends
controls activities and events
tracks time or milage on car
Stalks partner
Instills fear in partner
Breaks and destroys things
Controls money
Makes all decisions

Question 7

Why do abused partners stay

Answer 7

No other financial support
No support system
Afraid to be alone
Thinks they can’t survive without partner
Are in depression
Believes they deserve the beatings, need to stay or the kids and still goes through honeymoon phase

Question 8

Assessing someone who is IPV

Answer 8

Their injury will not match with their explanation
Wounds around head and neck

Question 9

3 questions that can reveal IPV

Answer 9

Have you been kicked, hit to punched by someone
Do you feel safe in your current relationship ship
Is there a partner from your previous relationship who is making you feel unsafe now

Alwaysask if kids are being hurt too
Document all info and ask to take photographs

Question 10

If they choose to press charges on partner

Answer 10

Give verbal or written info on
attorney who handles cases
legal clinics and or battered women advocates

Question 11

If they choose to NOT press charges on partner

Answer 11

PRovifr resources for
hotlines, shelters, battered woman’s groups
Battered woman advocates
AFDC

Question 12

IPV safety plan

Answer 12

Move to room with more then 1 exit
Know quickest route out of work and home
Ask neighbors to call police when they hear a disturbance
Use code words with kids, family and friends
Have safe place selected in case need to leave

Question 13

What is elder abuse

Answer 13

Falls into 3 categories
Domestic, institutional and self neglect

Question 14

5 kinds of elder abuse

Answer 14

Physical, emotional, financial, neglect and sexual abuse

Question 15

The abuser in elderly abuse

Answer 15

Middle aged, often caregiver is financially dependent on the older adult
IS dealing with mental illness, substance abuse or inability to cope

Question 16

Signs of elder abuse

Answer 16

Fear o being alone with caregiver
Obvious malnuturion
Bedsores or skin lesions
Begging for food
Needs for medical and dental care
Left unattended for long periods
Reports neglect and abuse
Passive, withdrawn and emotionless
Concern over finances and belongings

Question 17

When do you report crimes of rape

Answer 17

When it involves the abuse of a minor or older adult

Question 18

Date drugs

Answer 18

GHB:afects CNS
Rohypnol: “forget” drug
Ketamine: hallucinating agent

Question 19

Most common drug used to facilitate rape

Answer 19

Alcohol

Question 20

Sane nurses job

Answer 20

Perform physical
Collect forensic evidence
Provide testimony and forensic evidence
Provide support and needs of survivor

Question 21

ED SA victims

Answer 21

Should never be left alone
Have privacy provided
BE priority in triage
Receive support, medical care

Question 22

Collection of specimen

Answer 22

Rape kits
Body fluids and DNA collected
Urine sample if date drug is suspected
Patients have the right to refuse legal and medical exam
Must sign consent form for evidence collection
Chain of custody is followed until incident is turned over to authorities

Question 23

acute phase rape trauma syndrome

Answer 23

Most common responses are shock, numbness and disbelief

Question 24

Long term phase rate trauma syndrome

Answer 24

Teach to know what to expect
Help them be prepares and not feel like they’re going crazy
Important to now that everyone deals with event in their own manner
The ability to have comfortable and enjoyable sex will return

Question 25

PTSD

Answer 25

Reexperience trauma
social withdrawl
avoidance behaviors and actions
fears and phobias
Nightmares and difficulty sleeping

Question 26

Interventions to rape

Answer 26

Care for physical injuries
Offer emergency contraceptive
Offer treatment for STD
Collect serum to test for HIV, Hep and syphillis
Compassionate care
benzo for anxiety and agitation
SSRI for PTSD
Counseling, group therapy, support groups
List of safe houses
ASSESS within 24-48 hours by telephone