Mod#4, Violence And Abuse, Mental Health, Nursing Progam, 2009

Front 1

Violence & Abuse

The U.S. Surgeon General identified what as a priority public health issue?

Back 1

Violence & Abuse

Family Violence

Front 2

Violence & Abuse

These people have a long record of poor screening and identifying abuse?

Back 2

Violence & Abuse

Health professionals

Front 3

Violence & Abuse

When patients are not asked, incidence of dicovery of abuse =?

Back 3

Violence & Abuse

5 to 7%

Front 4

Violence & Abuse

When patients are screened for abuse, discoveries =?

Back 4

Violence & Abuse

30%

Front 5

Violence & Abuse

"I don't know enough about domestic violence to help someone who is being abused."
"I don't have enough time to deal with such complex problems on top of all of my other responsibilities."
"These are personal matters and none of my business."

Back 5

Violence & Abuse

Reasons nurses don't ask about abuse.

Front 6

Violence & Abuse

According to criminal justice experts, where is the training ground for violence?

Back 6

Violence & Abuse

The family.

Front 7

Violence & Abuse

25-75% of all murders occur where?

Back 7

Violence & Abuse

Within the family.

Front 8

Violence & Abuse

Learned behaviors, family violence, and violence increasing in our society?

Back 8

Violence & Abuse

Abuse as a cycle through generations.

Front 9

Violence & Abuse

Do more hitting, kicking, throwing when in a violent conflict?

Back 9

Violence & Abuse

Women

Front 10

Violence & Abuse

Punch, push, shove, slap, beat-up, and use weapons?

Back 10

Violence & Abuse

Men

Front 11

Violence & Abuse

More likely to kill their spouse or partner as an act of self-defense when battering has been a continual problem?

Back 11

Violence & Abuse

Women

Front 12

Violence & Abuse

Violence escalates both in frequency and severity?

Back 12

Violence & Abuse

A battering relationship.

Front 13

Violence & Abuse

Murdered by husbands or lovers, wife abuse, accounts for 75% of the murders?

Back 13

Violence & Abuse

9 out of 10 murdered women.

Front 14

Violence & Abuse

Remains the most under-reported crime in our society?

Back 14

Violence & Abuse

Battering

Front 15

Violence & Abuse

Does not stop with pregnancy but actually escalates?

Back 15

Violence & Abuse

Battering

Front 16

Violence & Abuse

Abuse comes before what?

Back 16

Violence & Abuse

Murder

Front 17

Violence & Abuse

The most common pattern of victimization is?

Back 17

Violence & Abuse

By males against females.

Front 18

Violence & Abuse

Also victims of abuse?

Back 18

Violence & Abuse

Males

Front 19

Violence & Abuse

Less likely to be killed due to battering?

Back 19

Violence & Abuse

Men

Front 20

Violence & Abuse

More likely to report domestic violence to the police?

Back 20

Violence & Abuse

Women

Front 21

Violence & Abuse

It is a private matter?

Back 21

Violence & Abuse

The most common reason men do not report battering.

Front 22

Violence & Abuse

A need for power and control over another person, often with physical force?

Back 22

Violence & Abuse

The dynamics of domestic violence.

Front 23

Violence & Abuse

The three repeating cycles of violence are?

Back 23

Violence & Abuse

Tension building phase
Acute battering phase
The Honeymoon/contrition phase

Front 24

Violence & Abuse

Increased tension occurs; unreasonable demands; humiliation; degredation increases; small arguments and disagreements; threats and interogation; slaps, pushes and hits; victim becomes increasingly compliant; emotional distance increases; the abuser may increase drinking or drug use?

Back 24

Violence & Abuse

The Tension Building phase

Front 25

Violence & Abuse

Actual battering incidents; aggressiveness increases; the most violent and shortest phase (up to 24 hours); abuser justifies his behavior; uncontrolled, brutal beatings; severe injuries usually occur?

Back 25

Violence & Abuse

The Acute Batering phase

Front 26

Violence & Abuse

Kindness, loving behaviors, abuser is sorry, abuser brings gifts and makes promises, victim drops legal charges?

Back 26

Violence & Abuse

The Honeymoon/Contrition phase

Front 27

Violence & Abuse

Violence never diminishes and almost always increases in frequency and intensity without?

Back 27

Violence & Abuse

Treatment

Front 28

Violence & Abuse

The cycle of violence will?

Back 28

Violence & Abuse

Always repeat itself.

Front 29

Violence & Abuse

Arrive DOA in ED?

Back 29

Violence & Abuse

75% of chronically abused victims.

Front 30

Violence & Abuse

Can become resistant to change and a way of relating to one another?

Back 30

Violence & Abuse

IPV

Front 31

Violence & Abuse

When aware she is a battered woman?

Back 31

Violence & Abuse

Violence has already reached the critical stage.

Front 32

Violence & Abuse

Victims mus?

Back 32

Violence & Abuse

Leave their situation.

Front 33

Violence & Abuse

Jealousy; victim isolation; victim control; problems with the law; Jekyll and Hyde personality; explosive tempers; tells the victim it is their fault; verbally and physically assaults; comes from a family where violence was practiced; will do whatever it takes to drive the victim away and then do whatever it takes to get them back?

Back 33

Violence & Abuse

The profile of battering behavior characteristics.

Front 34

Violence & Abuse

Physical exam, complete Hx, Tx injuries, psycho interview, females are preffered for the interview, interview them alone?

Back 34

Violence & Abuse

Nursing interventions IPV

Front 35

Violence & Abuse

"How did this happen?", "How much time has passed?", "What's your economic situation?", "What resources are available to you?", and look for any suicidal behaviors?

Back 35

Violence & Abuse

Nursing questions for the victim, IPV

Front 36

Violence & Abuse

"This is not your fault", "No one has the right to hurt you." "Abuse is a crime.", "Battering is common, you are not alone.", "Battering seldom happens only once, your risk for more severe injuries increases each time.", provide information, give immediate crisis counseling, return to victim to survivor status?

Back 36

Violence & Abuse

Long-term goal.

Front 37

Violence & Abuse

How many episodes of abuse before someone actually leaves?

Back 37

Violence & Abuse

8

Front 38

Violence & Abuse

A crime of power, control, anger, and the desire to humiliate?

Back 38

Violence & Abuse

Rape and sexual assault.

Front 39

Violence & Abuse

By a stranger, date or acquaintance, or within marriage?

Back 39

Violence & Abuse

Type of rape.

Front 40

Violence & Abuse

Acute diorganization, can last for days or weeks, fear, anxiety, anger, disbilief and shock initially, sleep problems, nightmares, body aches and pains, fatigue and loss of appetite, ritual safety behaviors, irritable, angry, tearful, guilt and shame, feels vulnerable, unsafe, like they are going crazy?

Back 40

Violence & Abuse

Rape Trauma Syndrome

Front 41

Violence & Abuse

Victims state the worst kind of abuse as being?

Back 41

Violence & Abuse

Humiliation

Front 42

Violence & Abuse

The largest number of rapes are by?

Back 42

Violence & Abuse

Someone the victim knows.

Front 43

Violence & Abuse

Long term process of reorganization, work toward intergration and resolution, success is regaining empowerment and reconnecting with others, most benefit from professional help?

Back 43

Violence & Abuse

Tx for rape trauma syndrome.

Front 44

Violence & Abuse

May exhibit psychiatric d/o's, self medicate, addiction process begins?

Back 44

Violence & Abuse

Rape Trauma Syndrome patient

Front 45

Violence & Abuse

Depression anxiety d/o, bi-polar disorder, DID, sexual dysfunction d/o, and borderline personality disorder?

Back 45

Violence & Abuse

Rape Trauma Syndrome patien

Front 46

Violence & Abuse

Med interventions for rape syndrome?

Back 46

Violence & Abuse

SSRI's, anti-anxiety's, TCA's if sleep is a problem.

Front 47

Violence & Abuse

Group therapy, biofeedback, and relaxation?

Back 47

Violence & Abuse

Trauma therapy.

Front 48

Violence & Abuse

Metropolitan organization to counter sexual assault, or MOCSA?

Back 48

Violence & Abuse

Will help the victims press charges if they wish.

Front 49

Violence & Abuse

Assessment and documentation, physical exam and Tx, establish trust, gather evidence, summons a crisis counselor, encourage client to seek therapy, address long-term reorganization issues?

Back 49

Violence & Abuse

Tx for survivors of Rape Trauma.

Front 50

Violence & Abuse

A wide range of acts of commission and omission that result in injury or death. Outside the norms of conduct. Involves a significant risk of physical or emotional harm?

Back 50

Violence & Abuse

Maltreatment defined

Front 51

Violence & Abuse

What are the four categories of Maltreatment?

Back 51

Violence & Abuse

Physical abuse, Sexual abuse, Neglect, and Emotional maltreatment.

Front 52

Violence & Abuse

Less attached to parents, difficulties with peers, few solutions to personal problems, decreased social involvement, withdrawn and agressive with other children, few friends and rejected by peers?

Back 52

Violence & Abuse

Affects of abuse on social functioning.

Front 53

Violence & Abuse

Aggression breeds?

Back 53

Violence & Abuse

Aggression

Front 54

Violence & Abuse

display oppositional and aggressive behaviors, conduct problems, little peer interaction, more problem behavior over all, less compliant, more referrals to the principal's office, suspensions, developmental delays as infants, greater frequency of running away, being expelled, using drugs, DX with ODD, Conduct D/O more FX

Back 54

Violence & Abuse

Effects of Abuse on Behavioral Functioning

Front 55

FTT

Back 55

Failure to thrive

Front 56

Violence & Abuse


More emotional maladjustment and psychiatric symptoms, More depressed and hopeless, PTSD SX, Difficulty with empathy and emotional recognition, scores on cognitive measures are significantly lower, especially verbal intelligence and language

Back 56

Violence & Abuse

Effects of abuse on emotional functioning

Front 57

Violence & Abuse

impaired physical growth and development, increased response to everyday scenes, more documented scars, skin wounds, greater drug use, feeding and sleeping problems, physical handicaps serious health problems at birth, more developmental disabilities or mental retardation, more illnesses, accidents and hospitalizations

Back 57

Violence & Abuse

Effecst of abuse on health and physical functioning

Front 58

Violence & Abuse

legal responsibility to report child maltreatment, alert to any signs or sx of abuse, operate within the scope of knowledge, consult multidisciplinary team, note discrepancies between parents' explanation and the physical findings

Back 58

Violence & Abuse

Nursing Role/Responsibilities

Front 59

Violence & Abuse

Occurs in homes, hospitals, long-term care facilities?

Back 59

Violence & Abuse

Elder abuse

Front 60

Violence & Abuse

What are the types of elder abuse?

Back 60

Violence & Abuse

Pysical abuse, physical neglect, sexual abuse, psychological abuse, psychological neglect, financial abuse, and violation of personal rights.

Front 61

Violence & Abuse

how many elderly experience abuse and neglect every year in the U.S.?

Back 61

Violence & Abuse

Approximately a half million.

Front 62

Violence & Abuse

Increasing violence in society; caregiver stress; poverty and disability; extended periods of disability and dependency; fewer or more distant relatives available to provide care; hospitals discharge clients after shorter stays and with greater physical care needed?

Back 62

Violence & Abuse

Causes and theories of elder abuse.

Front 63

Violence & Abuse

Who provide the most care to elders and are most likely to be perpetrators of elder abuse?

Back 63

Violence & Abuse

Families

Front 64

Violence & Abuse

When caregivers have personal problems or inadequate support, it increases the chances for what?

Back 64

Violence & Abuse

It increases the chances for elder abuse.

Front 65

Violence & Abuse

Caring for elders can be demanding and stressful if the elder has what?

Back 65

Violence & Abuse

If the elder has cognitive impairments.

Front 66

Violence & Abuse

Delay in seeking treatment for injuries; fail to explain or give improbable explanations for injuries; have frequent admissions for dehydration; assess communication between elder and caregiver; agitation, fear and reticence from elder are possible indicators; humiliating comments, frequent interruptions, use of unfeeling voice, lack of caring - all directed to the elder by caregiver are suspicious behaviors?

Back 66

Violence & Abuse

Signs of mistreatment in elder abuse.

Front 67

Violence & Abuse

Make appropriate assessments to identify potentially dangerous situations?

Back 67

Violence & Abuse

Nurse Role/Responsibilities

Front 68

Violence & Abuse

Reponsible for reporting elder abuse - each state has guidelines?

Back 68

Violence & Abuse

Nursing Responsibilities

Front 69

Violence & Abuse

An adult protective worker is assigned and develops individual plan for elder safety and care?

Back 69

Violence & Abuse

When elder abuse is reported.

Front 70

Violence and Abuse

A female victim of abuse will not answer questions if?

Back 70

Violence and Abuse

The abuser or children are in the room.

Front 71

Violence and Abuse

Why is it important to document abuse and quote what victim had to say?

Back 71

Violence and Abuse


Because your documentation may be used in a court of law.

Front 72

Violence and Abuse

Victim's of rape by an acquaintance blames?

Back 72

Violence and Abuse

Themselves.

Front 73

Violence and Abuse

Going to hospitals way far out of their way, with trauma injuries, is?

Back 73

Violence and Abuse

A red flag for abuse.