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?
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?
How many children are involved in child abuse cases yearly?
What are McCue ﬁve theories related to domestic violence for why men batter women?
Social learning theory
Family systems theory
If a batterer suffer personality disorders which of McCue's theories would apply?
If violence is a learned behavior from childhood which of McCue's theories would apply?
If there are physiologic changes from childhood trauma, head injuries, or through heredity cause violent behavior which of McCue's theories would apply?
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?
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?
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?.
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?
What are short term effects of emotional abuse?
avoids eye contact
"walking on egg shells"
what are long term effects of emotional abuse?
low self- esteem
low self worth
physical pain without cause
inability to trust
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?
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?
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?
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?
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?
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
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?
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?
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?
What culture is comfortable being close?
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?
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?
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?
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?
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?
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?
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