Mental Health- Test 2 Chapter 26

Front 1

Cycle of Violence

-tension building:

victim:
abuser:

Back 1

victim: feels tense and afraid, helpless, becomes complaint, accepts blame

abuser: edgy, minor explosions, can become verbally abusive, minor hitting, slapping

Front 2

Cycle of Violence

-the victim may try to cover up the injury or may look for help

-the tension becomes unbearable, the victim may provoke an incident to get it over with

Back 2

battering stage

Front 3

Cycle of Violence

-honeymoon phase:

victim:
abuser:

Back 3

v- trusting, hoping for change, wants to believe partners promises

a: loving behavior, bringing gifts or flowers and doing special thinks for the victim, sorry, makes promises to change

Front 4

Cycle of Violence

: negative cognitions, he wont get off my back, he won’t leave me alone, negative statements invites more tension

Back 4

tension building:

Front 5

Cycle of Violence

can last 10 minutes or 3 months

Back 5

tension building:

Front 6

Cycle of Violence

-tension builds in women until she loses it and beats him up (battering stage)

Back 6

tension building:

Front 7

Cycle of Violence

BELIEVES she is hopeful that it will get better (hope component keeps them in the cycle)

Back 7

honeymoon

Front 8

Cycle of Violence

when should the nures intervene and what 2 things can she do?

Back 8

-intervene in the tension building phase (change how the person is interpreting what’s going on) do cognitive restructuring or cognitive reframing that invites calm and rational thinking

Front 9

Cycle of Violence

minor incidents like showing, pushing, verbal abuse

Back 9

tension building stage

Front 10

Cycle of Violence

the victim ignores or accepts the abuse for fear that more severe abuse will follow

Back 10

tension building stage

Front 11

Cycle of Violence


abuser releases built-up tension by brutal beatings. severe injuries can result

Back 11

-battering stage

Front 12

Cycle of Violence

and loving behaviors b/c the abuser feels remorseful and buys presents, makes promises, and tells the victim how much she is loved and then she believes him,& drops all her plans of leaving

Back 12

honeymoon

Front 13

Comorbidity
-2 most prevalent disorders resulting from childhood trauma

Back 13

depression and PTSD

Front 14

-initiates violence and considers their needs more important than anyone else’s needs

Back 14

perpetrator :

Front 15

perpetrator

-violence: (what 3 things does it come from)

Back 15

rooted in child,
lack of self regard(esteem),
inability to assume adult role

Front 16

males –

Back 16

- violence about control and power
-male domination / supremacy
-act out of the need to feel power
-extreme jealousy
-get very restrictive in monitoring activities (results in isolation) –become prisoner in own home
-control finances (don’t give any money, you can’t leave me)

Front 17

-alcohol or drugs DOES NOT CAUSE VIOLENCE, it can make someone more likely to

Back 17

act on violence

Front 18

males
-prone to abuse when:
-how do they act:
-what do they want done following the episode?

Back 18

-prone to abuse when drunk
-be remorseful and act child like
-want to be nurtured following the episode

Front 19

-both male and female perpetrators perceive themselves as having (2)

-what about relationships outside of their significant other?


-how do they describe their relationship with their partner?

Back 19

poor social skills and their relationships are pathological (Co-dependent)

-lack supportive relationships outside the signifcant other


-describe the relationship with their partner as being the closest they have ever known

Front 20

vulnerable person (3 things that cause them to be at risk)


what is the greatest risk?

Back 20

-pregnancy
-move towards independence
-greatest risk when person leaves the relationship (homicide occurs most often)

Front 21

general assessment

-what needs to be secure first??

Back 21

-safety needs to be secure before they open up
-be neutral and matter of fact, open ended
-tell me what happens to you when you do something wrong?
-what about your children behavior disturbs you the most?
-describe how you describe your child?

Front 22

general assessment

nurses must ass suicide potential, why?

Back 22

-they can become so hopeless
-abuser can use suicide as a threat
-homicide potential

Front 23

self-assessment
-think _______

Back 23

empathy

Front 24

Suicide Potential

-often, the means of attempted suicide is OD with a combination of

Back 24

alcohol and other CNS depressants or sleeping medications that have been prescribed

Front 25

-greatest intervention:
1)



2)

Back 25

develop safety plan (ex 599) –so they know what to do in the event that they need a quick escape




-other goal: empower them (doing a safety goal with them)
-when your with them, they decide to make a phone call to the police( have them make the phone call,
anytime the person makes actions is empowering)
-giving them choices, safety plan,

Front 26

Identify four factors that put a vulnerable person at greater risk for homicide.

Back 26

1)presence of a gun in the home
2)alcohol and drug abuse
3)history of violence on the part of the perpetrator in other situations
4)extreme jealousy and obsessiveness on the part of the perpetrator regarding the relationships with the victim and attempt to control all the victims daily activities

Front 27

a family member upon whom abuse is perpetrated

also referred to as victim or survivor

Back 27

vulnerable person

Front 28

vulnerable person
-what makes someone vulnerable?

Back 28

pregnancy - b/c of added responsibility


moving towards independence (visiting friends, gettign a job, going back to school)

greatest risk when the person leaves the relationship

Front 29

when does homocide occur most often?

Back 29

when the vulnerable person/victim leaves the relationship

Front 30

who should be screened for abuse?

Back 30

all people

Front 31

abuse complaints may be stated as:

Back 31

-vague
-chronic pain
-insomnia
-hyperventilation
-gyneo problems

Front 32

assessment should include what topics (3)

Back 32

sexual abuse
family violence
drug use or abuse

DONE WITH VICTIM ALONE

Front 33

vulnerable person
-children

Back 33

-under 3
-perceived as being different (congenital abnormalities, chronic disease)
-produce of unwanted pregnancy
-remind parent of someone they dont like
-different rom pts fantasy

Front 34

vulnerable person
-older adults

they are vulnerable because...

what puts them at high risk?

Back 34

they are in poorer mental or physical health


dependency needs

Front 35

general assessment
-what does the nurse need to do first?

Back 35

-safety needs to be secure before they open up


-be neutral and matter of fact, open ended
-tell me what happens to you when you do something wrong?
-what about your children behavior disturbs you the most?
-describe how you describe your child?

Front 36

suicide potential
--abuser can use suicide as a threat..how?

Back 36

to manipulate the victim into caving into demands "dont let me or ill kill myself"

Front 37

assessment
-long term outcome:

Back 37

victim is no longer exploited

Front 38

suicide potential
-if the patient feels that life is not worth living, has a suicide plan, and means to carry out the plan, admission to inpatient hospital is necessary.

if the patient is talking about future plans and is saying "for the sake of the children" what is ok?

Back 38

outpatient referrals

Front 39

Interviewing
- instead of saying how do you “abuse" your child or using thew ord "violence,” what can the nurse ask?

Back 39

-ask about ways of solving disagreements or methods of discipline children rather than to use the words “abuse or violence”

Front 40

Interviewing
-- before getting details of violence, what must the nurse do?

Back 40

sit near the pt and spend time establishing trust and report

Front 41

Interviewing
-what do you reassure to the pt?
-what kind of questions to you ask (open or closed)

Back 41

-reassure the pt that he or she did nothing wrong
-ask open ended questions to elicit more relevant info

Front 42

-greatest intervention:
1)
2)

Back 42

1) develop safety plan (ex 599) –so they know what to do in the event that they need a quick escape

2) empower them. (doing a safety goal with them)
-when your with them, they decide to make a phone call to the police( have them make the phone call,
anytime the person makes actions is empowering)
-giving them choices,

Front 43

safety plan
-identify what?

Back 43

signs of escalation of violence to pick a particular sign that will tell them in the future "now is the time to leave"

Front 44

safety plan
-what is it important to make sure that the plan includes?

Back 44

destination and transportation

Front 45

safety plan
-what should the nurse always give the pt?

Back 45

the # of the nearest available shelter even if they decide with their abuser
-(having the contact # contributes to thinking about options)