Term
| name the 5 specific types of abuse |
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Definition
(1) physical abuse,
(2) sexual abuse,
(3) emotional abuse,
(4) neglect,
(5) economic abuse |
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Term
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Definition
| is the infliction of physical pain or bodily harm (e.g., slapping, punching, hitting, choking, pushing, restraining, biting, throwing, burning). |
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Term
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Definition
| any form of sexual contact or exposure without consent, or in circumstances in which the victim is incapable of giving consent. Sexual abuse of adults is usually referred to as sexual assault or rape |
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Term
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Definition
the infliction of mental anguish (e.g., threatening, humiliating, intimidating, and isolating). It can take the form of any of the following:
• Terrorizing an individual through verbal threats
• Demeaning an individual's worth or putting the person down
• Directing blatant or subtle hostility and hatred toward an individual—or omitting positive behaviors
• Persistently ignoring an individual and her or his needs
• Consistently belittling and criticizing an individual
• Withholding warmth and affection from an individual
• Threatening an individual with abandonment or institutionalization (nursing home, psychiatric hospital) |
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Term
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Definition
Neglect can take several forms:
• Physical neglect is failure to provide for basic needs or to protect from harm.
• Emotional neglect is failure to attend to basic emotional needs and nurturing.
• Educational neglect is failure to provide a child with experiences, including formal education necessary for intellectual growth and development.
• Medical neglect is failure to provide basic medical, dental, or psychiatric care. |
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Term
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Definition
| withholding of financial support or the illegal or improper exploitation of funds or other resources for one's personal gain. |
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Term
CYCLE OF VIOLENCE
describe the tension-building stage |
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Definition
| characterized by relatively minor incidents, such as pushing, shoving, and verbal abuse. During this time, the victim often ignores or accepts the abuse for fear that more severe abuse will follow. Abusers then rationalize that their abusive behavior is acceptable. As the tension escalates, both participants may try to reduce it. The abuser may try to reduce the tension with the use of alcohol or drugs, and the victim may try to reduce the tension by minimizing the importance of the incidents (“I should have had the house neater …dinner ready”). |
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Term
CYCLE OF VIOLENCE
Describe the Acute Battering Stage |
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Definition
| the abuser releases the built-up tension by brutal beatings. Severe injuries can and do result. |
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Term
CYCLE OF VIOLENCE
describe the honeymoon stage |
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Definition
| characterized by kindness and loving behaviors. The abuser, at least initially, feels remorseful and apologetic and may bring presents, make promises, and tell the victim how much she or he is loved and needed. The victim usually believes the promises |
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Term
| Describe the long term effect on the different periods in the Cycle of Violence |
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Definition
| Over time, the periods of calmness and safety become briefer, and the periods of anger and fear are more intense. There are intervals of stability, but the violence increases over time. With each repeat of the pattern, the victim's self-esteem becomes more and more eroded. The victim either believes the violence was deserved or accepts the blame for it. |
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Term
| 80% of the perpetrators of child abuse are what? |
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Definition
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Term
| child abuse is more likely to come from which parent? |
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Definition
The mother.
40% is by the mother alone, 18% is by the father alone, 18% is by both parents, 7% is by a parent+ a friend. |
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Term
| what are the 2 most prevalent disorders that are the result of childhood abuse? |
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Definition
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Term
| Name 3 of the likely long term effects of family violence |
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Definition
○ Depression
○ Suicidal feelings
○ Self-contempt
○ Inability to trust
○ Inability to develop intimate relationships in later life
PTSD
○ Poor self-esteem
○ Compulsive or impulsive behaviors (e.g., substance abuse, excessive spending, gambling, and promiscuity)
○ Multiple somatic complaints |
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Term
| What behavioral symptoms might an adolescent produce if they are/were abused? |
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Definition
○ Failing grades
○ Difficulty forming relationships
○ Increased incidence of theft, police arrest, and violent behaviors
○ Seductive or promiscuous behaviors
○ Running away from home |
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Term
| Name 5 potential characteristics of abusive parents |
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Definition
• A history of abuse, neglect, or emotional deprivation as a child
• Family authoritarianism: raise children as they were raised by their own parents
• Low self-esteem, feelings of worthlessness, depression
• Poor coping skills
• Social isolation (may be suspicious of others): few or no friends, little or no involvement in social or community activities
• Involvement in a crisis situation: unemployment, divorce, financial difficulties
• Rigid, unrealistic expectations of child's behavior
• Frequent use of harsh punishment
• History of severe mental illness, such as schizophrenia
• Violent temper outbursts
• Looking to child for satisfaction of needs for love, support, and reassurance (often unmet because of parenting deficits in family of origin)
• Projection of blame onto the child for parents’ “troubles” (e.g., stepparent may project hostility toward new mate onto a child)
• Lack of effective parenting skills
• Inability to seek help from others
• Perception of the child as bad or evil
• History of drug or alcohol abuse
• Feeling of little or no control over life
• Low tolerance for frustration
• Poor impulse control |
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Term
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Definition
| a situation that puts stress on a family with a violent member. |
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Term
| name some physical signs of battering |
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Definition
| e bruises, scars, burns, and other wounds in various stages of healing, particularly around the head, face, chest, arms, abdomen, back, buttocks, and genitalia. |
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Term
| signs of shaken baby syndrome |
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Definition
| A baby who has been shaken may present with respiratory problems, bulging fontanelles, and central nervous system damage, resulting in seizures, vomiting, and coma. |
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Term
| possible indicators of emotional abuse |
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Definition
| low self-esteem, reported feelings of inadequacy, anxiety and withdrawal, learning difficulties, and poor impulse control. |
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Term
| what are some signs of abuse to look for when doing a home visit to an elderly patient? |
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Definition
• Absence of lack of access to basic necessities (food, water, medications)
• Unsafe housing
• Lack of or inadequate utilities, ventilation, space
• Poor physical hygiene
• Lack of assistive devices, such as hearing aids, eyeglasses, wheelchair
• Medication mismanagement (outdated prescriptions, unmarked bottles) |
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Term
| what are some signs of abuse to look for when doing a home visit to an young patient? |
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Definition
• Responsiveness to infant's signals
• Caregiver's facial expressions in response to infant
• Playfulness of caregiver with infant
• Nature of physical contact during feeding and other caretaking activities
• Temperament of infant
• Caregiver's history of harsh discipline or abuse as a child
• Parental attitudes:
○ Feelings of inadequacy as a parent
○ Unrealistic expectations of child
○ Fear of “doing something wrong”
○ Attribution of negative qualities to newborn
○ Misdirected anger
○ Continued evidence of isolation, apathy, anger, frustration, projection
○ Adult conflict
• Environmental conditions:
○ Sleeping arrangements
○ Child management
○ Home management
○ Use of supports (formal and informal) |
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Term
| Name 3 potential NOC nursing diagnoses for family violence |
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Definition
| Risk for injury, Risk for violence (self-directed or other-directed), Anxiety, Fear, Disabled family coping, Powerlessness, and Caregiver role strain,Pain related to physical injury or trauma |
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Term
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Definition
| plan for a rapid escape when abuse recurs. Patients should be asked to identify the signs of escalation of violence and to pick a particular sign that will tell them in the future that “now is the time to leave.” If children are present, they can all agree on a code word that, when spoken by the parent, means “It is time to go |
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Term
| what is the primary goal of abuse intervention? |
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Definition
| empowerment of the victims to decrease feelings of helplessness/hopelessness. |
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Term
| what is Primary Prevention of abuse? |
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Definition
| measures taken to prevent the occurrence of abuse. Identifying individuals and families at high risk, providing health teaching, and coordinating supportive services to prevent crises are examples of primary prevention |
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Term
| what are the 5 specific strategies in primary prevention? |
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Definition
| (1) reducing stress, (2) reducing the influence of risk factors, (3) increasing social support, (4) increasing coping skills, and (5) increasing self-esteem. |
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Term
| what is abuse Secondary Prevention? |
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Definition
early intervention in abusive situations to minimize their disabling or long-term effects.
Stress and depression can be reduced by providing supportive psychotherapy, support groups, pharmacotherapy, and contact information for community resources |
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Term
| what is Tertiary prevention of abuse? |
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Definition
| Tertiary prevention, which often occurs in mental health settings, involves nurses facilitating the healing and rehabilitative process by counseling individuals and families, providing support for groups of survivors, and assisting survivors of violence to achieve their optimal level of safety, health, and well-being. |
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Term
1. A man becomes frustrated when his children cry repeatedly and shoves his wife into the refrigerator. His wife explains to the neighbor who witnessed this that, “I should have made the children go to bed earlier so they wouldn't be so cranky.” This is an example of:
1. masochism.
2. emotional abuse.
3. tension reduction.
4. secondary prevention. |
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Definition
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Term
2. Which statement(s) about perpetrators and victims of abuse is accurate? Select all that apply.
1. Thirty or more percent of victims of intimate partner and family abuse are male.
2. Abusive behavior is usually the result of intoxication or stress.
3. Perpetrators tend to respond best to treatment if it is court ordered.
4. Victims do not report abuse, because they tacitly are accepting of it.
5. Victims of abuse stay in the relationship because they really do not want to leave.
6. Disruptive behavior may make older adults with dementia vulnerable to abuse. |
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Definition
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Term
3. A staff nurse, Chandra, is assisting a 30-year-old victim of domestic violence in the emergency department. The patient suffered numerous bruises and abrasions, is reluctant to be examined, seems very ashamed, and is very fearful that Children's Services will take custody of her young daughter, who has not been assaulted and is safe, if the police become involved. Which intervention is indicated?
1. Report the assault to the police, since reporting of domestic violence is mandatory.
2. Probe the patient for information to use as evidence in prosecuting the perpetrator.
3. Press the patient to disrobe so that she can be examined for signs of hidden injuries.
4. Guide and assist the patient to develop a safety plan for rapid escape should abuse recur. |
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Definition
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Term
4. Ms. Patel, a student nurse, is assigned to a patient recovering from injuries received during an episode of domestic violence, the third such assault for which she has received treatment. Ms. Patel left home at age 17 to escape an abusive father. Which statements about this situation are accurate? Select all that apply.
1. Ms. Patel may be prone to blame the patient for her injuries and abuse.
2. Ms. Patel's personal experiences give her special insight into the needs of this patient.
3. Ms. Patel's experiences are likely to make her more empathetic towards victims.
4. Caring for victims of abuse will help Ms. Patel cope with her own abuse experiences.
5. Ms. Patel may experience overwhelming anguish as a result of caring for abuse victims.
6. Ms. Patel would likely benefit from clinical supervision related to caring for abuse victims. |
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Definition
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Term
5. Perpetrators of domestic violence tend to:
1. belong to lower socioeconomic groups and be poorly educated.
2. have relatively poor social skills and to have grown up with poor role models.
3. believe they, if male, should be dominant and in charge in relationships.
4. force their mates to work and expect them to support the family.
5. be controlling and willing to use force to maintain their power in relationships.
6. prevent their mates from having relationships and activities outside the family. |
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Definition
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