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31 Cards in this Set

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5 types of abuse

physical abuse, sexual abuse, emotional abuse, neglect, financial abuse

social learning theory

intergenerational violence theory of family relies on role modeling, identification on human interaction.

societal and cultural factors that exist when family abuse is high

-poverty or unemployment


-overcrowding


-social isolation of families


-view of women in some subcultures as "property"

psychological factors

-substance abuse


-low self esteem


-history of impulsive behavior


-self centered, lacks of compassion for others

cultural considerations

-battered women may come from a culture that accepts domestic violence


-if undocumented, may be forced to leave US if seeks sanctions against husband or attempts to leave him


-isolated by cultural dynamics that do not permit her to leave her husband


language barriers may interfere with...

-ability to call 911


-learn about rights and legal options


-obtain shelter, financial assistance or food


Theory related to IPV (intimate partner abuse)

-an abusive relationship is about instilling fear and wanting to have power and control in relationship


-anger is one way to achieve control


-physical/sexual or psychological violence may also occur

secondary effects of violence

anxiety, depression, suicidal idealation, PTSD

effects on the children

-development adversely affected (regression)


-energy needed to accomplish developmental tasks successfully goes to coping with family violence


-can start to identify with the aggressor

effects on adolescents

-poorer coping and social skills


-higher incidence of dissociative identity disorder


-poor impulse control


-poor grades


-bully others

charecteristics of the Battered Partner

-lives in terror of next abusive event


-feelings of powerlessness, low self esteem


-becomes afraid not only for self, but also for children


-common for social isolation occur

what type of kids at risk for abuse?

chronic illness, mentally disabled, unable to speak, afraid to report provider, easier to control.


-children who are the result of unwanted pregancies are at higher risk for abuse.

charecteristics of the Batterer

-violence is a learned behavior


-low self esteem, poor impulse control, and limited tolerance for frustration as well as lack of control


-lack of guilt and unconcern about behavior


-extremely possessive, pathologically jealous, believe in male supremacy

the three phases of violent behavior

tension building, violent behavior, period of remorse or contrition

nursing process


-assessment



- what questions to ask?

-have you ever been hit, kicked, punched or otherwise hurt by someone within the past year?


-do you feel safe in your current relationship


-is there a partner from a previous relationship who is making you feel unsafe now?


***always ask if children are also being hurt

common nursing diagnoses

Risk for violence, risk for injury, acute/chronic pain, risk for trauma, risk for self or other directed violence, social isolation, powerlessness, disabled family coping

outcome identifications

-most important outcome is to see the women opt for safe enviornment for self and children


-referral for safe houses, hotlines and support groups are important

Important interventions in the emergency department

-ensure medical attention is provided, interview pt in private, assess in non-threatening manner for info about... sexual, chemical abuse, thoughts of suicide or homicide; encourage pt to talk about incident and carefully listen; is there a safe place to go?, does victim want to press charges? refer to community recources

other important assessments

-level of anxiety and coping responses


-assess support systems


-safety


-suicidal or homicidal potential


-drug and alcohol use

some signs of child abuse

child is excessively fearful or parent/caregiver; may appear disheveled and neglected; have hx of absenteeism; injuries do not match the story

characteristics of abusive parents

-hx of violence, neglect or abuse as child; low self esteem, feelings of worthlessness, depression, poor coping skills, social isolation, involved in crisis situation; rigid and unrealistic of child's behavior, poor impulse control

assessment of child

-conduct interview in private, sit next to child, tell child that interview is confidential, use language child understands, ask child to clarify words you do not understand, tell child in any action is required

assessment of parent/caregiver

conduct interview in private; be direct, honest and professional, be understanding, be attentive, inform person is you must make referral to child protective services and explain the process

"don'ts" of assessment

-do not judge or accuse


-do not use the words 'abuse" or "violence'


-do not display horror, anger, shock or disapproval


-do not force a child or anyone else to remove clothing


implementation

-adopt nonthreatening, nonjudgemental relationship w/parents; understand that children do not want to betray their parents


-be aware of agency's and state's policy in reporting child abuse


-ensure that proper procedures are followed, keep accurate and detailed records, use of dolls might help child tell how "accident' occured

types of elder abuse

physical abuse, psychological abuse, financial abuse or exploitation, neglect, sexual abuse

Adult protective services (APS)

each state receives and investigates reports of suspected elder abuse


-to be eligible for APS help in most states, an older adult has to be deemed unable to care for self

Charecteristics of abused elder

-age-related syndromes resulting in frailty and functional decline increase susceptibility to abuse


-people older than 80 are 2-3 times as likely to suffer abuse


-older women are more likely than men

charecteristics of elder abuser

-caretaker stress and burden have been implicated as causative factors


-research indicates that charecteristics of elder abuser are most like that of the abuser in IPV


-most cases of elder abuse are done by a family member

assessment


determine if elder...

-fears being alone with caregiver, has signs of obvious malnutrition, has bedsores or skin lesions, is in need of medical/dental care, reports abuse or neglect


-behaves in passive, withdrawn or emotionless manner

psychiatric traumatic disorders r/t abuse and violence

-PTSD


-dissociative disorders


*dissociative amnesia


*dissociative fugue


*dissociative identify disorder


*depersonalization disorder