Week 3 Flashcards

Question

What does the Child Abuse and Prevention Treatment Act (CAPTA) do?

Answer 1

Dictates minimum standards that must be incorporated into state statutes — most state statutes include neglect, physical abuse, sexual abuse, emotional abuse

Answer 2

Failure to provide for a child’s basic physical, educational, medical and emotional needs

Answer 3

Physical injury due to punching, beating, kicking, biting, burning, shaking, or otherwise harming a child; even if parent or caretaker did not intend harm, such acts are considered abuse when done purposefully

Answer 4

Includes fondling child’s genitals, incest, penetration, rape, sodomy, indecent exposure, and exploitation through prostitution or production of pornographic materials

Answer 5

Any pattern of behavior that harms child’s emotional development or sense of self-worth; includes frequent belittling, rejection, threats, and withholding of love and support

Answer 6

Physical, sexual or psychological/emotional violence within a dating relationship that includes stalking — in person or electronically — present or former partner

Answer 7

Almost every state has some form of mandatory reporting of abused elderly and other vulnerable patients

Answer 8

You only need to have suspicion that elder abuse or neglect may have occurred to call authorities

Answer 9

Violent acts that result or could result in injury, pain, impairment or disease

Answer 10

Failure of family or caregiver to provide basic goods and services such as food, shelter, health care and medications

Answer 11

Behaviors that result in mental anguish

Answer 12

Failure to provide basic social stimulation

Answer 13

Intentional misuse of elderly person’s financial and material resources

Answer 14

Failure to use elderly persons assets to provide needed recourses

Answer 15

Abused women have more chronic health problems (neurological, gastrointestinal, gynecologic, and chronic pain) Forced sex contributes to reproductive issues (chronic pelvic pain, pregnancy, STIs, HIV, UTI) Higher mental health issues (depression, SI, PTSD, substance abuse) Abuse during pregnancy = problems for both mother and child (low birth weight, increased risk for child abuse)

Answer 16

A. Bleeding from trauma —> changes in circulatory homeostasis and fluctuations in BP and pulse, shock and death B. Infections —> sepsis or death in immunocompromised C. Cardiac complications from stress D. STIs and related complications for younger women are present in older sexually assaulted women

Answer 17

Intentional or unintentional

Answer 18

Mandatory reportable activity

Answer 19

1. Immediate consequences (bruises, fractures, lacerations, shaken baby syndrome) 2. Severe mistreatment can lead to long-term disability such as blindness, developmental delay, physical disability or death 3. Poor bond with child and caregiver 4. Abused children will likely abuse their own children 5. Immediate behavioral issues, developmental delays, regression behaviors

Answer 20

1. Disabilities/developmental delays in children that may increase caregiver burden 2. Social isolation of families 3. Parents lack understanding of child needs / development 4. Parents history of domestic abuse 5. Poverty and socioeconomic disadvantages 6. Family disorganization / violence 7. Substance abuse 8. Young, single, non-biological parents 9. Community violence 10. Parental stress

Answer 21

Routine, universal screening for IPV means asking every woman at every health care encounter if she has been abused by a husband, boyfriend or other intimate partner / ex-partner - required by most nursing professional organizations - US Preventative Task Force has issued a policy statement supporting the positive benefits of routine screening for IPV

Answer 22

Many precede questions with an introduction Ex. “Because domestic violence is so common in our society...” This alerts women that questions about domestic violence are coming and makes sure they know they are not being singled out for these questions

Answer 23

Ask questions to assess how recent and how serious the abuse was

Answer 24

No validated screening tool — observe for risk factors and be aware that it occurs in both genders (alc. abuse, substance abuse, early onset of sexual activity, signs of mental illness or poor performance at school)

Answer 25

Have you felt unsafe in relationships? Is a partner from a previous relationship making you feel unsafe now? Etc.

Answer 26

Physical findings inconsistent with history provided by patient, family, or caregiver are red flags of possible abuse and neglect - problems can exist at multiple levels, both physically and cognitively

Answer 27

It is not your fault that your husband lost control. Changing your actions will not prevent him from abusing you again

Answer 28

Important components of physical examination of known survivor of IPV or elder abuse include the following: A. Complete head to toe visual examination, especially is patient is receiving health services for reported abuse B. Health evaluations for know or suspected elder abuse and neglect should include baseline lab tests, including a CBC with platelet level, basic blood chemistries, serum liver function tests, a coagulation panel and urinalysis

Answer 29

Head to toe examination - significant injuries can be hidden under clothing, diapers, socks and long hair - bruising in atypical places such as buttocks, hands, feet back and abdomen are exceedingly rare and should arouse concern - any bruise in the shape of an object should be considered higher specific for abuse - bruising found in non-mobile children should raise concern for further injury, including fractures and intracranial injury

Answer 30

1. Detailed, non biased progress notes 2. Use of injury maps 3. Photographic documentation 4. Other aspects of abuse history 5. Written documentation of histories of IPV and elder abuse needs to be verbatim but within reason 6. Critical to document exceptionally poignant statements made by victims that identify perpetrator and severe threats of harm by perpetrator

Week 3 Flashcards

(111 cards)