Abuse and Violence

Question 1

abuse

Answer 1

wrongful use or maltreatment of another

Question 2

violence

Answer 2

intent of causing property damage, personal injury, or even death to another individual

Question 3

lateral bullying

Answer 3

bullying between people on the same “level”, nurse to nurse, student to student, etc.

Question 4

medical reasons violence is increased

Answer 4

intoxication, brain injury/neurological disorders

Question 5

nursing units that deal with the most violence

Answer 5

psychiatric, emergency, waiting rooms, geriatric units

Question 6

domestic violence

Answer 6

violence between more powerful (perpetrator) and less powerful (victim)

Question 7

examples of domestic violence

Answer 7

spouse battering, neglect, elder abuse

Question 8

common characteristics of domestic violence

Answer 8

violent families, social isolation, abuse of power and control, alcohol and drug use, intergenerational transmission process

Question 9

emotional abuse

Answer 9

name calling, excessive criticism, yelling, swearing, mocking, isolation

Question 10

neglect

Answer 10

inconsistent provision of food, water, shelter, sanitation, or other basic needs, lack of schooling or medical care

Question 11

intergenerational transmission process

Answer 11

patterns of violence are perpetuated from one generation to the next via role modeling, social learning, and genetics

Question 12

cultural considerations of domestic violence

Answer 12

can affect families from all ages, ethnic, racial, socioeconomic and sexual orientation backgrounds
battered immigrant women are at increased risk
some cultures are more accepting of domestic violence than others

Question 13

why are battered immigrant women at increased risk for domestic violence

Answer 13

lack of social support, presence of social barriers such as language, economic, and legal

Question 14

intimate partner violence

Answer 14

mistreatment or misuse of person by another in context of emotionally intimate relationship

Question 15

characteristics of abuser

Answer 15

feelings of inadequacy, low self-esteem, poor problem solving skills

Question 16

SAFE screening

Answer 16

S: stress/safety
A: afraid/abused
F: friends/family
E: emergency plan

Question 17

interventions for intimate partner violence

Answer 17

assist with development of safety plan
arrest of perpetrator, restraining orders, shelters, therapy and counseling, treatment for anxiety and depression
legal support should be combined with psychological support for victims- remind the victim they are not at fault

Question 18

components of a safety plan

Answer 18

move to a room with more than one exit
know the quickest route out of the home
keep a bag packed with essentials (hidden but easy to grab)
create a code word to use with children, family and friends when you need help
have a safe place selected to go to if you need to leave
unless you are in imminent danger, try to leave when the abuser isnt home

Question 19

child abuse

Answer 19

intentional injury or neglect of a child
definitions and regulations are state based

Question 20

clinical picture of child abuse- things to look for

Answer 20

parents have minimal parenting knowledge, are emotionally immature, view children as property. risk of child abuse is more likely if there is a lack of education and poverty, history of family violence

Question 21

warning signs of child abuse

Answer 21

serious injuries without history or trauma, inconsistent histories regarding injuries, delay in seeking treatment, unusual injuries related to age, evidence of unreported old injuries, high incidence of UTIs along with other s/s of sexual abuse

Question 22

interventions for child abuse

Answer 22

childs safety and well being is main priority, stay with the child, ask the child about what happened, implement therapy for the child, psychiatric care for parents, family therapy is essential if reunification is planned

Question 23

elder abuse; includes

Answer 23

maltreatment of older adults by someone in a caregiver role
physical, financial, denial of medical treatment, neglect or self-neglect

Question 24

s/s of elder abuse

Answer 24

always worried about money, constantly jumpy, making comments about being hungry/not being able to go to the bathroom, etc.

Question 25

self neglect in elders

Answer 25

involves elders ability to care for themselves

Question 26

interventions for elder abuse

Answer 26

depends on the intent and patterns of behavior
report to adult protective services for monitoring
consider social supports if from caregiver burnout
encourage abuse to seek counseling

Question 27

crime of violence

Answer 27

humiliation of victim expressed through sexual means, usually premeditated

Question 28

sexual violence includes

Answer 28

sexual activity forced due to drugs, intoxicants, and/or fear of violence
person is incapable of exercising rational judgement due to mental deficiency or younger than age of consent

Question 29

rules for collecting forensic evidence

Answer 29

do not wash hands or face
do not shower or bathe
do not brush teeth
do not change clothes
carefully explain all the steps before completing them

Question 30

interventions for sexual violence

Answer 30

offer immediate emotional and psychological support, prophylactic treatment for STIs, prevention of pregnancy, therapy to restore survivors sense of control

Question 31

7 Critical Incident Stress Debriefing phases

Answer 31

1. introductory phase
   discuss purpose and confidentiality
2. fact phase:
   discuss the facts of the incident
3. thought phase:
   discuss initial thoughts after the incident
4. reaction phase:
   engage in discussion about the most painful parts of the incident
5. symptom phase:
   describe the experiences during the even and ongoing (cognitive, physical, emotional, behavioral)
6. teaching phase:
   affirm the participants feelings, provide guidance on stress management techniques
7. reentry phase:
   review the debriefing process and provide encouragement