Abuse ( Child ,Domestic Violence& substance)

Question 1

What is the cycle of Abuse in child abuse in a chronological order?

Answer 1

1. Tension building
   2.Incident
   3.Reconciliation
   4.Calm

Question 2

What are types of Child Abuse?

Answer 2

➢Physical abuse
➢Sexual abuse
➢Emotional abuse
➢ Neglect

Question 3

What are examples of Child Emotional abuse?

Answer 3

*Restricting a child’s movements
*Denigration
*Ridicule
*Threats and intimidation, *Discrimination/ rejection

Question 4

In the Shaken infant, what are symptoms displayed?

Answer 4

▪Brain: Intracranial haemorrhage
▪Skin: Bruises
▪Joints: dislocations
▪Bones: Fractures

Question 5

What are examples of Short- Term impacts of child Abuse in the pre-school age?

Answer 5

❖Bed-wetting
❖ Thumb-sucking
❖Excessive crying
❖Hiding from people, including from the perpetrator
❖Stuttering

Question 6

What are examples of Short- Term impacts of child Abuse in the school age?

Answer 6

❖Feeling of guilt
❖Blaming themselves that
they caused the violence
❖Low self esteem

Question 7

What are examples of Short- Term impacts of child Abuse in the teenagers?

Answer 7

❖Generalized anxiety
❖ Sleeplessness
❖ Nightmares
❖Difficulty concentrating
❖High activity levels
❖ Risky Behaviour
❖Depression
❖Difficulty in establishing/maintaining relationships
❖Worry
❖PTSD

Question 8

In Jamaica, what Is a source of Primary intervention in Child Abuse?

Answer 8

Child Protection and Family Services Agency (CPFSA)

Question 9

What are examples of Indirect disclosure of abuse?

Answer 9

❖Avoiding the abuser, including not wanting to go to the house of the abuse
❖Changes in eating and sleeping patterns
❖Inappropriate sexual behaviour
❖Risky behaviour, e.g. suicidal attempts, substance us

Question 10

What ranks as the leading cause of death in the Caribbean region?

Answer 10

Violence

Question 11

What percentage of Jamaica’s funds are spent on healthcare as a result of violence?

Answer 11

7%

Question 12

What are the three types of Adverse Childhood Effects?

Answer 12

Abuse
Neglect
Household Dysfunction

Question 13

What is the most common contributing factor to household dysfunction (ACE)?

Answer 13

Substance abuse - 27%

Question 14

What is the most common type of Abuse seen in ACE?

Answer 14

Physical abuse

Question 15

What number of Adverse Childhood effects would be most experienced by people?

Answer 15

0 (36%)

Question 16

What number of Adverse Childhood effects would be least experienced by people?

Answer 16

3 - 9.5%

Question 17

True or False? Rates of depression are 2-3- times higher for women who have experienced violence.

Answer 17

FALSE!! Rates of depression are 3-4 times higher for women who have experienced violence.

Question 18

What is the ratio of men and women that develop an alcohol dependence.

Answer 18

1 in 5 men
1 in 12 women

Question 19

True or False? One in 3 women survivors of violence suffer from depression, anxiety and somatic conditions.

Answer 19

TRUE!!

Question 20

What are factors contributing to Violence against Women and Girls?

Answer 20

• Strictly enforced gender roles.

*Association of masculinity with toughness and dominance.

*Punishment of women and children as an accepted value.

• Violence accepted as a standard way to resolve conflicts.

*Stress associated with poverty.

Question 21

What number of the population would be affected by violence?

Answer 21

1/3

Question 22

What are examples of TRAUMA-RELATED PSYCHIATRIC CONDITIONS?

Answer 22

Acute Stress disorder
Major Depression
Adjustment disorder
PTSD
Attachment disorder

Question 23

What are 5 essential self-care strategies?

Answer 23

Sleep
Exercise
Eating well
Relaxation
Connection

Question 24

What are the macro-social levels strongly associated with Interpersonal violence?

Answer 24

• Unemployment
• Income inequality
• Rapid social change
• Access to education

Question 25

What is the cycle of Violence?

Answer 25

Phase 1:Tension- building stage Phase 2:Acute Battering stage Phase 3:Calm Stage

Question 26

What is Traumatic bonding?

Answer 26

A strong emotional attachment between the victim and perpetrator of domestic violence

Question 27

What are Fatal outcomes of Violence?

Answer 27

Suicide Homicide Maternal mortality HIV /AIDS

Question 28

What are some factors of Behaviour change?

Answer 28

*To be effective the individual must want to change. *For change to be lasting it should not be forced. *Getting others to change requires skills in listening, communicating & persuading. *Acknowledging incremental change can encourage greater change.

Question 29

In the Health Belief model , people are more likely to comply with a recommended health behaviour if they perceive:

Answer 29

*Themselves as being vulnerable to a condition they consider to be serious. *The effects of non-compliance to be severe *That the recommended solutions can work *The benefits to be derived from recommended action outweigh the cost of engaging in the behaviour. *Barriers to carrying out the action are minimal/manageable .

Question 30

In the pre-contemplation stage, what is the state of the patient?

Answer 30

Patient is unaware or de-motivated

Question 31

In the Contemplation stage , what state is the patient in?

Answer 31

Weigh pros & cons - 6 mths

Question 32

In what stage has the patient tried for 2-3 years?

Answer 32

Maintenance

Question 33

In what stage is the patient planning to start early ( next 30 days)?

Answer 33

Preparation

Question 34

What stage is known as the trial stage?

Answer 34

Action

Question 35

What happens in the termination state?

Answer 35

There's no temptation

Question 36

What is the criteria for diagnosing a patient with substance use disorder?

Answer 36

Must present with 2 symptoms within a 12 month period

Question 37

What are the classifications of substance- use disorder based on Severity?

Answer 37

Mild - 2- 3 symptoms Moderate - 4-5 symptoms Severe 6 & more