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22 Cards in this Set
- Front
- Back
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young females b/w ages _________are at risk for sexual assault
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12 to 19
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-if attacked by spouse or intimate –what follows is
(if by stranger, what follows: |
sexual distress:
fear and anxiety) |
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Psychological effects of sexual assault
-long term effects of sexual assault may include |
depression, suicide, anxiety and fear, difficulty with daily functioning, low self-esteem, sexual dysfunction, and somatic complains
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Psychological effects of sexual assault
-a history of sexual abuse in psychatric patients is associated with what chatacteristic patterns of symptoms (7) |
depression
anxiety disorders chemcial dependency suicide attempts self mutilation compulsive sexual behavior psychosis like smyptoms |
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-sustained abuse:
-self mutilation: build up of negative emotions, there is mood disregulation and the person feels overwhelmed, and cut, and then there is a release of negative emotion, and they feel relief, it is reinforcing |
you see chemical dependency, self mutilation, impulsive sexual behavior (why do we have to know…we may have a tendency to not get why someone may self mutilate, and we don’t get it, but they can’t cope with their history of trauma and they bury it.
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rape trauma syndrome (primary diagnosis)
-ultimate goal: |
be free of s/s of post traumatic stress (b/c RTS is link to PTSD) and then they resume their pre crisis level of functioning
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rape trauma syndrome
-Acute Phase -when does it occur? -pts are usually seen where? -who deals with initial pt reaction? |
-occurs immediately after the assault and may last for 2-3 weeks
-pts are usually seen by ER department personnel -nurses are most involved in dealing with initial reaction |
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rape trauma syndrome
-Acute Phase -there is a great deal of _______in the persons lifestyle and _________ symptoms are common |
disorganization
somatic |
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rape trauma syndrome
-Acute Phase -common initial reactions are: (3) |
shock, numbness, disbelief
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rape trauma syndrome
-what phase?? -outwardly, the person may be self-contained and make remarks as “it doesn’t seem real or I don’t believe it happened to me” |
acute phase
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rape trauma syndrome
-Acute phase -cognitive functions an be impaired |
and the person may appear:
-extremely confused -difficulty concentrating and making decisions -may even become hysterical -restless -may cry/smile |
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rape trauma syndrome
-Long term reorganization phase -occurs when? |
2 or more weeks after the rape
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rape trauma syndrome
-Long term reorganization phase 3 characteristics of this phase |
-intrusive thoughts of the rape that break into the survivors conscious mind during the day or sleep
-thoughts include anger, violence, flashbacks, dreams with violent content, and insomnia -increased activity: moving, taking trips, changing phone numbers, making frequent visits to old friends -this activity stems from the fear that the assailant will return -increased emotional lability: intense anxiety, mood swings, crying spells, and depression |
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rape trauma syndrome
-Long term reorganization phase -have certain phobias |
-have certain phobias
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levels of anxiety:
-pt experiencing severe to panic (will or will not) be able to problem solve or process information |
will not
(support, reassurance, appropriate therapetuc techniques can help) |
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coping mechanisms:-behavioral responses include
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crying, withdrawing, smoking, abusing alcohol and drugs, talking about the event, becoming extremely agitated, confused, disoriented, incoherent, laughing , or joking (examples of expressed style of coping)
OR cognitive coping mechanisms: thoguhts people have to help them deal with anxiety (a positive coping response or negative "it's my fault this happened" |
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sexual assault
-logn term goal: |
absence of any residual symptoms after the trauma
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psychological effects of sexual assault
-chronic: what is seen |
dissociative disorders because they can't handle it
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psychological effects of sexual assault
-severe reactions is seen with |
incest
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general assessment
-available support systems |
available, size, usefulness of pts support system.
-partners or family members dont understand the pts feeligns about the assault and they may not be the best support -pay attention to verbal vs nonverbal cues |
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general asssessment
-what 3 things does the nurse assess: |
1) level of anxiety
2) coping mechanisms 3) available support systems |
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rape trauma syndrome
-ultimate goal: be free of signs any symptoms of the post traumatic stress and then they resume their pre crisis level of functioning why do we want them to do this? |
post traumatic stress is linked to PTSD
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