1229 Exam 6 Family Violence Flashcards Preview

nursing 1229 > 1229 Exam 6 Family Violence > Flashcards

Flashcards in 1229 Exam 6 Family Violence Deck (66)
Loading flashcards...
1

What is Anger?

an emotional response to the perception of frustration of desires, threat to one's neds, or challenges.

2

What is aggression?

is harsh physical or verbal action that reflects rage, hostility, and potential for physical or verbal destructiveness.

3

Anger and Aggression:

are the last two stages of a response that begins with feelings of vulnerability followed by uneasiness.

4

General Assessment:

-identify anxiety before it escalates to anger and aggression
-expressions of anxiety and anger look quite similar--- increased rate and volume of speech, increased demands, irritability, frowning, redness of face, pacing twisting hands, or clenching and unclenching of fist.
should include taking an accurate history of -the patient's background, usual coping skills, and perception of the issue.

5

self assessment:

how we intervene safely depends on our own self-awareness.
-nursing responses to angry patients can escalate along a continuum similar to that of patients.
-the more a nursing intervention is prompted by emotion, the less likely it is to be therapeutic.
-nurses' responses reflect norms from their families or origin, personal issues, and situational events.

6

What techniques beside self-assessment could be used?

deep breathing
muscle relaxation
empathetic interpretation of patient' distress
review of intervention strategies can be helpful

7

Social Isolation

family members keep to self
no invitations to the home
no sharing of information or friends
abusers may threaten if they tell
tell them that parent, siblings, or pets will die.
child will keep secret due to fear.

8

Abuse of Power and COntrol

abusive family member in position of power over the victim.
economic and social as well as physical power
onl one who can make decisions about money or time spent outside the home.
any indication, real, or imagined, of the victim having been disobedient or trying to be independent leads to violence.

9

Substance Abuse

Alcohol is frequently associated with family violence.

10

Transmission process

patterns of violence from one generation to another --role modeling--social learning

*learned patten of behavior
-children who see violence between their parents learn violence is a way to solve conflicts

11

Cultural factors:

immigrant women are more at risk to be in abusive home.

12

The abusive person is more likely to what?

use drugs or alcohol.
Alcohol lowers their inhibitation--make the violent behavior more intense and frequent
major factor in rape cases and sexual assault.

13

Family structure for conditions for Violence:

perpetrator (abuser)
vulnerable person
crisis situation.

14

The perpertrator:

lacks role models and did not learn problem solving skills
-cares only about their own needs
-dissatisfied with life
-low selfesteem
witnessed family violence/experienced it
poor social skills/no support from outside marriage
-poor impulse control
substance abuser
emotionally immature--- needy, irrational, jealous, possessive

15

Vulnerable person

the one in the family that is abused--age or situation make vulnerable (children, women, elderly, mentally ill or physically challenged person or child

16

crisis situation

stressful event--something that taxes their coping skills.
financial stress
job stress (no job)
marital problems (soldier's families, away from home, increased stress on remaining parent.

17

Risk factors for violence:

pregnancy
single
drugs
no support
finances
elderly

18

types of abuse:

physical
sexual
emotional/psychological
neglect
economic
financial

19

Coping mechanisms of the abusers:

projection
displacement
passive aggressive
denial

20

Projection

the world is unfair
blame someone else for their difficulties
"My boyfriend made me drink."

21

Displacement

Discharge our feelings o a less threatening object
Transferred to someone other than who they are angry at.

22

Passive Aggressive:

underminers
deny they are angry but deep down they really are
afraid of rejection or punishment
passive

23

Denial

unconscious behavior
an alcoholic who says he can control his drinking--doesnt want to see or face the problem.

24

physical violence

battering and physical endangerment

25

sexual violence

any sexual approach or act, explicit or implicit, toward a child.
the sexual abuse of adults is usually catergorized as sexual assault or rape

26

emotional violence

infliction of mental anguish

27

neglect

physical, developmental, or educational

28

economic maltreatment

using another's recources without permission for one's own personal gain

29

tension building stage:

minor incidents (pushing or verbal abuse)

30

acute battering stage:

perpetrator releases built up tension by beating a vulnerable person