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Flashcards in Mod 6 Deck (104):

A situation in which one family member causes physical or emotional harm to another family member to gain power and control over the victim is know as what?

family violence


One in every three women worldwide has been what?

beaten, coerced into sex, or otherwise abused at least once in her lifetime


How many children die daily due to child abuse?

5 children


How many children are involved in child abuse cases yearly?

6 million


What are McCue five theories related to domestic violence for why men batter women?

Psychopathology theory
Social learning theory
Biologic theory
Family systems theory
Feminist theory


If a batterer suffer personality disorders which of McCue's theories would apply?

Psychopathology theory


If violence is a learned behavior from childhood which of McCue's theories would apply?

social learning


If there are physiologic changes from childhood trauma, head injuries, or through heredity cause violent behavior which of McCue's theories would apply?

Biologic theory


Which of McCue's theories is that violence that grows through family system function, but some criticize this theory as blaming the victim?

Family systems theory


Which of McCues theories states that male/female inequity in patriarchal societies lead to violence?

Feminist theory


What does Walker's theories discuss?

the cyclic nature of violence


If the abuser displays possessiveness and jealousy, and starts to separate the victim from supportive relationships this is the sign of what phase?

phase 1, the tension building phase


If the abuser makes unrealistic demands and expectations are not satisfied, criticism and/or ridicule escalate into shoving or slapping which is what phase of abuse?

Phase 2, the acute battering stage


What phase begins after an incident of battery when abuser is loving, promises never to abuse the victim again, and is very attentive to the victim?

phase 3, the honeymoon phase


what type of abuse includes pushing, shoving, slapping, kicking, choking, punching, and burning and may also involve holding, tying, or other methods of restraint. where victim may be left in a dangerous place without resources?

physical abuse


what type of abuse involves the use of constant insults or criticism, blaming the victim for things that are not the victim’s fault, threats to hurt children or pets, isolation from supporters (family, friends or coworkers), deprivation, humiliation, stalking and intimidation, and manipulation of various kinds, such as threats of suicide?.

Psychological abuse
Emotional abuse


what type of abuse may be evidenced by preventing the victim from getting or keeping a job, controlling money and limiting access to funds, spending the victim’s money, and controlling knowledge of family finances?

Economic abuse


What are short term effects of emotional abuse?

frequent crying
overly passive/compliant
avoids eye contact
"walking on egg shells"


what are long term effects of emotional abuse?

low self- esteem
low self worth
emotional instability
sleep disturbances
physical pain without cause
inability to trust
substance abuse
Stockholm syndrome


what type of abuse involves forcing the victim to perform sexual acts against her or his will, pursuing sexual activity after the victim has said no, using violence during sex, and using weapons vaginally, orally, or anally?

sexual abuse


when would you not screen for family violence?

if there are any safety concerns for you or the client.


During a interview you ask what kind of stress are you experiencing at this time? how does it affect your breathing? why would you ask these questions?

PV is associated with severe emotional stress. Shortness of breath can be a manifestation of stress. Client may need education about relaxation techniques.


who provide care if rape is suspected?

SART team members typically include the SANE, police or sheriff, detective, prosecutor, rape crisis center advocate or counselor, and emergency department medical personnel


what should you do if a client wants to return to the abusive home?

If the client says she prefers to return home, ask her if it is safe for her to do so and have her complete Assessment Tool . Provide the client with contact information for shelters and groups. Encourage her to call with any concerns.


what are nursing diagnoses of abuse?

dysfunctional grieving
impaired parenting
disturbed personal identity
risk for rape trauma syndrome
fear of losing an ineffective intimate relationship
dysfunctional family processes
low self esteem


what is the purpose of the danger assessment questionnaire?

to determine the level of the clients risk of becoming a victim of homicide


what does culture affect?

how people communicate, the rituals and behaviors used to express spirituality, and the main events of life, such as marriage, pregnancy, birth, death, and other celebrations.


what does bad blood refer to?

sexually transmitted infection


A learned beliefs about what is held to be good or bad is called what?



learned behaviors that are perceived to be appropriate or inappropriate are referred to as what?



The perception that one’s worldview is the only acceptable truth and that one’s beliefs, values, and sanctioned behaviors are superior to all others is called what?



when someone is aware of other cultures and their different beliefs, values, and accepted behaviors but do not recognize the considerable variation that can exist within any cultural group it is known as what?



what is not a physical characteristic but a socially constructed concept that has meaning to a larger group?



What is standard 1 for culturally and linguistically appropriate services in health care?

Ensure that patients/consuers receive from all staff members’ effective, understandable, and respectful care that is provided in a manner compatible with their cultural health beliefs and practices and preferred language.


What is standard 2 for culturally and linguistically appropriate services in health care?

Implement strategies to recruit, retain, and promote at all levels of the organization a diverse staff and leadership that are representative of the demographic characteristics of the service area.


What is standard 3 for culturally and linguistically appropriate services in health care?

Ensure that staff at all levels and across all disciplines receives ongoing education and training in culturally and linguistically appropriate service delivery


What is assumed to be a right of all health care consumers in the US, meaning that individuals have the right to know about diagnosis and treatment plans and to make decisions for themselves?



someone who is not aware that one lacks cultural knowledge; not aware that cultural differences exist is known as what?

unconscious incompetence


Someone who is aware that one lacks knowledge about another culture; aware that cultural differences exist but no knowing what they are or how to communicate effectively with clients from different cultures is known as what?

conscious incompetence


someone who is Consciously learning about the client's culture and providing culturally relevant interventions; aware of differences; able to have effective transcultural interactions is known as what?

conscious competence


some one who is Able to automatically provide culturally congruent care to clients from different culture; having much experience with a variety of cultural groups and having an intuitive grasp of how to communicate effectively in transcultural encounters

unconscious competence


a group that has less power or prestige within the society, but actually means a group with smaller population numbers refers to what?



what does cultural skill mean?

the ability . . . to collect relevant cultural data regarding the client’s presenting problem as well as accurately conducting a culturally-based physical assessment


what is culture awareness?

the process of conducting a self-examination of one’s own biases towards other cultures and the in-depth exploration of one’s cultural professional background”


The process of seeking and obtaining a sound educational foundation concerning the various world views of different cultures is knows as what?

Cultural knowledge


What is the main purpose of assessing culture in the health care setting?

To learn about the clients beliefs and usual behavior
To compare and contrast the clients beliefs and practices to standard western medical care
To compare the clients beliefs and practices with those of similar culture backgrounds to avoid stereotyping
To assess the clients health relative to disease prevalent in the specific culture group


What are the cultural beliefs and values to assess?

Value orientation
Beliefs about human nature
Beliefs about purpose of life
Beliefs about relationships with nature
Beliefs about health, illness and healing
Beliefs about what causes disease
Beliefs about health
Beliefs about who serves in the role of healer or practice bring about healing


How do western cultures perceive time?

To be measurable


How is time perceived in eastern culture?

Fluid and flowing


What culture needs more space?

Asians/ America


What culture is comfortable being close?

Middle easterners


What culture believes that looking down is a sign of respect?

Eastern countries/ native Americans


What culture will look away while being talk to but make eye contact when talking?

African Americans


What are the two major hand gestures to be aware of?

The one indicating height and "OK"


The Asian culture practice what kind of preventive and healing practices?

Prevent or rebalance yin/yang, hot/cold foods and conditions, wear amulets, acupuncture, cupping, moxibustion


The African culture practice what kind of preventive and healing practices?

Magical and herbal mix of herbs, roots, and rituals, talismans or amulets


The Native American culture practice what kind of preventive and healing practices?

Respect for nature and avoid evil spirits, use mask, herbs, sand painting,amulets


The Hispanic culture practice what kind of preventive and healing practices?

Hot/cold balance for diets, herbs, amulets, prayers to gods and saints and spiritual reparations for sins,avoiding the evil eye caused by jealousy and envy


The Western European culture practice what kind of preventive and healing practices?

Maintaining physical and emotional well being with proper science based modern nutrition, exercise, cleanliness, belief faith in God


What are two common Asian culture based treatments that may be misinterpreted in the western culture?

Coining and cupping


What is moxibustion?

It is the attachment of smoldering herbs to the end of an acupuncture needle it leaves scars that look like cigarette burns


What is described as cold?

Cancer, headache and pneumonia


What is described as hot?

Diabetes mellitus, hypertension and sore throat or infection


What is empacho?

It is the belief that in young children, soft food adhere to the stomach wall and causes abdominal fullness, stomach ache, diarrhea with pain and vomiting. It is confirmed by rolling an egg over the stomach and the egg appears to stick over one area


What is Mal de ojo ( evil eye)?

Children, infants are at the greatest risk and women are more at risk then men. Caused by a stranger attention or touch and has a sudden onset of fitful sleep, crying without apparent cause, diarrhea, vomiting and fever


What is susto?

It is a Spanish word for fright caused by


What cultures expect loud wailing in grief when it comes to death?

Latina and African Americans


Stoning is practiced by what culture if a woman gets pregnant out of wedlock?

Islamic culture


What culture believes in controlling the response to pain?



Jehovah witnesses will not do what?

Accept blood transfusion


What culture will not donate organs and why?

African Americans because they believe that the will not receive adequate care so the organs can be harvested


What culture has less apocrine glands?

Asians and native Americans


what does nutrition refer to?

complex processes by which nutrients are ingested, digested, absorbed, transported, used, and then excreted


what is needed for adequate nutrition?

carbohydrates, proteins, fats, vitamins, minerals, and water


simple carbohydrates are found in what?

fruit juice


complex carbohydrates are what?

are starches that more slowly convert into energy and can also be used as an energy source


what does fiber help promote?

nor-mal bowel function, reduce cholesterol levels, and aid in weight management.


what is considered adequate fiber intake?

25 grams for an adult women and 38 grams for an adult male


where are carbohydrates stored?

liver and muscle


A healthy should consist of how many carbohydrates?

55% to 60% carbohydrates with 75% of those carbohydrates being complex.


where are proteins stored?

muscle, skin, bone, blood, cartilage, and the lymph tissue


what is the primary function of proteins?

growth, repair, and maintenance of body structures and tissue.


where are fats stored?

adipose cells


what is the difference between saturated fats and unsaturated fats?

saturated fats originating from animal sources or tropical oils and solid at room temperature
unsaturated fats originating from plant sources and soft or liquid at room temperature


saturated fats should not make up more than how much of an adult diet?



what is cholesterol?

is a fat-like substance that the liver produces. It is also found in animal food sources, such as meats, egg yolks, and dairy products.


what can high levels of cholesterol lead to?

heart attacks and strokes


what does cholesterol do?

It is necessary as a component of bile salts that aid in digestion, serves as an essential element in all cell membranes, is found in brain and nerve tissue, and is essential for the production of several hormones such as estrogen, testosterone, and cortisone.


what is vitamin K required for?

blood clotting


where is vitamin K found?

in green, leafy vegetables


where is vitamin c found?

in citrus and other fruits


what are some trace minerals?

calcium, potassium, and sodium are major minerals whereas fluoride, iron, and zinc are trace minerals.


water account for how much of the bodies weight?

50% to 80%


how much water does the average adult need to consume daily?

2,000 to 3,000 mL


what can affect adequate hydration?

Exposure to excessively high environmental temperatures
• Inability to access adequate fluids, especially water (e.g., clients who are unconscious, confused, or physically or mentally disabled)
• Excessive intake of alcohol or other diuretic fluids (coffee, sugar-rich and/or caffeine-rich carbonated soft drinks)
• People with impaired thirst mechanisms
• People taking diuretic medications
• Diabetic clients with severe hyperglycemia
• People with high fevers


what lab of fasting blood sugars would indicate pre-diabetes?

100-135 mg/dl


What % of body fat is considered obesity?



If a person is 10 % offer the ideal body weight they are considered what?



What clients are at risk for over-hydration?

Those with kidney, liver and cardiac disease


Weakness and fatigue is a sign/symptom of what?

Anemia or electrolyte imbalance


Weight loss is a sign/symptom of what?

Decreased calorie intake, increased calorie use or inadequate nutrient intake or absorption


Dry, flaky skin is a sign/symptom of what?

Vitamin A, vitamin B- complex, or linoleum acid deficiency


Rough, scaly skin with bumps is a sign/symptom of what?

Vitamin A deficiency


Edema is a sign/symptom of what?

Protein deficiency