Violence survivors

Question 1

Neglect occurs in which populations?

Answer 1

children
dependent adults

Question 2

Assessment for abuse and neglect (4)

Answer 2

recurrent injuries
old/new fractures
bruises/abrasions
unkept

EAGER TO SHORTEN CONTACT

Question 3

Indicators of sexual abuse

Answer 3

STDs, genital/rectal bleeding, reccurent UTIs

Question 4

Indications of sexual abuse in children

Answer 4

sexual activity/knowledge, sexual acting out, seductiveness

Question 5

Perpetrating abuse

Answer 5

jealousy, stalking

Question 6

Nursing role R/T sexual assault evidence

Answer 6

do not interrogate patient
(only info to treat)

assure physical evidence is bagged and labelled

Question 7

Violence with families

Answer 7

power and control, social isolation, drug/alc abuse

Question 8

results from abuse

Answer 8

Homeless, depression, anxiety, PTSD, BPD, DD, suicide , isolation, discomfort, acting out, regression

Question 9

Contol/Power

Answer 9

when survivor attempts to take power perpetrator doubles efforts to control

could end in killing victim or themselves

Question 10

Why do they stay?

Answer 10

ambicalence, dependence (emotional/financial), fear of outcome

Question 11

Why do they leave?

Answer 11

Concern for children, come to belief, support from others, “awakening”

Question 12

Assessment: Domestic violence

Answer 12

If you do not ask, she won’t tell

look for unlikely explanations, increase incidence of accidents, somatic complaints, malnurished, assess children

Question 13

Intervention for Domestic Violence

Answer 13

her response makes sense to her

“no contact” “protective orders”

reinstate their self worth

Question 14

Countertransferance in Domestic Violence

Answer 14

Ramin objective
Physical needs
Non-judgemental approach
express concern
explore/reducate
Realistic hope “people do escape abuse and go on to better lives”
Assure advocate for pt
CONNECT to resources

Question 15

Intervention to child abuse

Answer 15

Counseling, stuffed animals, suspicion requires reporting (proof NOT needed)

Question 16

False memory

Answer 16

children do not lie spontaneouslt about abuse, only skilled should question, memory distorts over time

Question 17

I

Interventions for Elder abse

Answer 17

mandatory (proof not needed) ! 60+

Question 18

Do providers need permission to report domestic violence?

Answer 18

YES

but must document knowledge/belief

Question 19

Sexual assault

Answer 19

sex contact w/o consent

Question 20

rape

Rape

Answer 20

sexual contact w/o consent under the threat of force

Question 21

Sexual assault is the crime of ______.

Answer 21

control

Question 22

What happens if provider reports sexual assault?

Answer 22

Takes away control from the survivor

Question 23

In ER, woman who was a victim of crime wants to “wash up” the nurses responce would be:

Answer 23

washing may harm the evidence

Question 24

vicarious traumatization

Answer 24

indirect exposure