caring for abused persons

Question 1

phys abuse

Answer 1

inflict phys pain or bodily harm

Question 2

sexual abuse

Answer 2

any form of sexual contact or exposure without consent or unable to give consent

Question 3

emotional abuse

Answer 3

undermine self worth

Question 4

neglect

Answer 4

fail to provide phys, emotional, edu, medical needs

Question 5

economic abuse

Answer 5

forbid school or employment
control access, make financially dependent

Question 6

crisis situaiton

Answer 6

put stress on fam with violent members
no impulse control, problem solving skills, healthy support system

Question 7

perp

Answer 7

member of house biolent towards other member

Question 8

vulnerable person

Answer 8

victim/survivor
member upon whom abuse is perpetrated

Question 9

survivor v victim

Answer 9

recognize recovery and healing process that follows victimization, no connotation of passivity (like victim)

Question 10

intimate partner violence

Answer 10

phys, rape, stalk, psychological aggression by current or former

Question 11

intimate partner violence: rf

Answer 11

greatest when threaten to or actually leave
perspective dom: M believe in male dom
pathological jealousy: control, track, accompany, accuse of cheating
substance abuse: weaken inhibitions
preg -> resent, trigger or increase

Question 12

cycle of violence: tension building

Answer 12

minor incidence: push, shove, verbal
victim decreases tension: ignore, accept, excuse behavior out of fear
abuser decreases tension: rationalize behavior, OH/substance

Question 13

cycle of violence: acute battering

Answer 13

tension peak
triggered by events or abusers emotional state
victims start so they can move to honeymoon

Question 14

cycle of violence: honeymoon

Answer 14

tension decreases
abuser is remorseful, apologetic, promises, gifts
victim feels needed, loved, hopeful, abandons legal plans

Question 15

cycle of violence: repetition of cycle

Answer 15

less calm stages, increasing intensity, increasing dep and hopelessness and immobilization and self depreciation

Question 16

older adult abuse

Answer 16

intentional actions that cause harm or create r/o harm to vulnerable person
failure to provide basic needs or protect from harm
epidemiology: unreported d/t isolation, dependency, fear of retaliation
self neglect if caring for self

Question 17

older adult abuse: rf

Answer 17

poor mental/phys health or disruptive d/o like AD
dependency
dam with hx violence
typical victim: F, >75, live with relative, phys and/or mental impairement

Question 18

assess

Answer 18

screen all
cm may be vague: chronic pain, insomnia, hypervent, gynecological problems
interview process: private, sit near, rapport, dont use “ abuse” “violence”, ask specific Q about conflict resolution, dont interrupt

Question 19

assess: phys abuse

Answer 19

covert = series of minor complaints -> HA, back trouble, dizzy, accidents (esp falls)
overt = bruise, scar, burn, wounds in various stages of healing
warnings: minimize seriousness, explanation dont match, vague explanations
ask when was last time it happened, how often, how are you hurt

Question 20

assess: sexual abuse

Answer 20

sexual behavior or knowledge, drawing explicit, sexual aggression/play/promiscuity, masturbate
s/s PTSD

Question 21

assess: emotional abuse

Answer 21

decreased self esteem, feel adequate, anx, withdrawal, learning difficulties, poor impulse control

Question 22

neglect

Answer 22

under nourished, dirty, poorly clothes, inadequate dental/med care (no vax)

Question 23

economic abuse

Answer 23

needs unmet with adequate finances, unpaid bills (disconnected utilities), extreme dependency

Question 24

nursing process

Answer 24

outcomes should be dev with survivor and primary support person
planning: nurse often first point of contact
usually community follow up

Question 25

prevention

Answer 25

1= prevent occurance 2 = early intervention 3 = tertiary, healing, and rehab

Question 26

tm

Answer 26

survivors and perp (CBT), best after crisis has died down individual therapy: sense of self, empower, choose productive life fam: perp needs individual and show progress before all group: isolation, self worth

Question 27

rape

Answer 27

attempted: threat or intention that is unsuccessful completed: penetration without consent

Question 28

sexual assault/violence

Answer 28

epidemiology M more likely to: suffer phys trauma, victimized by multiple perps, in locked institutions multiracial and american indian perp usually male

Question 29

sexual assault/violence: clinical picture

Answer 29

not typical presentaiton, emotional responses vary long term: MDD, anx, fear, suicide, ASD, PTSD difficulty daily F, low self esteem, sexual dysF, somatic

Question 30

sexual assault nurse examiner

Answer 30

specialized training med and legal competency expert witness part of SA response team

Question 31

assess

Answer 31

consent!

Question 32

nursing process

Answer 32

reassess emotional state w/n 48 hr d/c