Caring for Victims of Abuse

Questions and Answers

Which of the following are types of violence and abuse? (Select all that apply)

Child neglect (correct)

Cyberbullying

Elder abuse (correct)

Intimate partner violence (correct)

What is intimate partner violence?

Psychological, physical, or sexual harm by a current or former spouse.

What is the prevalence of men versus women in intimate partner violence?

Victims: 1 in 4 women, 1 in 9 men.

What reactions do women have regarding IPV?

Women are often afraid or reluctant to identify abusers due to retaliation. Signup and view all the answers

What defines psychological IPV abuse?

Criticizing, insulting, humiliating, and controlling or monitoring spending. Signup and view all the answers

What is stalking?

A crime of intimidation. Signup and view all the answers

Match sexual violence terms with their definitions:

Sexual assault = Any form of nonconsenting sexual activity Rape = Most severe form of sexual assault; a crime of violence Signup and view all the answers

What are the statistics for rape occurrences?

Occurs once every 2 minutes. Signup and view all the answers

Who are the majority of perpetrators of rape?

Majority are men. Signup and view all the answers

What are some forms of child abuse?

Neglect, physical, psychological, and sexual abuse. Signup and view all the answers

What characterizes child neglect?

Failure to protect a child. Signup and view all the answers

What is physical child abuse?

Severe spanking, hitting, or kicking resulting in nonaccidental injury. Signup and view all the answers

What is psychological child abuse?

Verbal abuse and other subtle forms of harm. Signup and view all the answers

What does elder abuse refer to?

Abuse or neglect of individuals older than age 60. Signup and view all the answers

What are the risk factors for elder abuse?

Older age, impaired ADLs, cognitive disability, dependency on caregiver, isolation, stressful events, history of intergenerational conflict. Signup and view all the answers

Intergenerational transmission of violence means children witnessing violence in homes often perpetuate violent behavior later.

True Signup and view all the answers

Match the cycle of violence stages:

Tension building = Stage 1 Violence erupts = Stage 2 Remorse ensues = Stage 3 Signup and view all the answers

Assignments of biologic responses to trauma can include __________.

obvious injury Signup and view all the answers

Co-occurring disorders in responses to trauma can result in feelings of __________.

guilt and shame Signup and view all the answers

What are the goals of care for victims of abuse? (Select all that apply)

Prevent injury Signup and view all the answers

Assessment includes establishing a __________ between the nurse and patient.

nurse-patient relationship Signup and view all the answers

What is a lethality assessment?

Danger assessment screen. Signup and view all the answers

What does screening for violence and abuse include?

Abuse assessment screen, Burgess-Partner abuse scale for teens. Signup and view all the answers

Which nursing diagnosis may be seen in victims of trauma? (Select all that apply)

Posttrauma Syndrome Signup and view all the answers

What symptoms might be observed in the psychological domain assessment?

Anhedonia, difficulties concentrating, feelings of worthlessness or guilt. Signup and view all the answers

Which factor would a nurse assess first in a survivor of violence?

Lethality. Signup and view all the answers

What does treatment for the abuser typically involve?

Court mandated outpatient programs. Signup and view all the answers

Study Notes

Types of Violence and Abuse

Domestic violence is the most common type of violence.
Intimate partner violence (IPV) includes psychological, physical, or sexual harm by a partner.
Stalking involves the crime of intimidation, with young women (ages 18-24) at highest risk.
Rape is the severe form of sexual assault, defined as any nonconsenting sexual activity.
Child abuse includes neglect and various forms of physical, psychological, and sexual abuse.
Elder abuse encompasses physical, sexual, emotional abuse, neglect, abandonment, and financial exploitation.

Intimate Partner Violence (IPV) Insights

IPV affects 1 in 4 women and 1 in 9 men.
70% of IPV-related homicides involve women, while 30% involve men.
There’s a significant impact on children who witness IPV, referred to as "secondary victimization."
Violence during pregnancy occurs in 4-22% of cases.

Reactions and Psychological Impact

Women often do not identify abusers due to fear of retaliation.
Men may hesitate to report their victimization, often failing to recognize abusive behaviors.
Psychological IPV involves tools of control such as criticism, isolation, and manipulation of resources, and often persists longer than physical violence.

Rape and Sexual Assault Facts

Rape occurs approximately every 2 minutes in the U.S.
Vulnerable populations include adolescents and young adults, with 2/3 of women raped by someone they know.
Men are statistically less likely to report experiences of sexual assault.
The majority of perpetrators are men, with women often committing abuses in statutory cases.

Child Abuse Overview

Vulnerable age group includes children under 2 and those with disabilities.
Types of child abuse include neglect, physical abuse, psychological abuse, and sexual abuse.
Neglect is the most prevalent form of child maltreatment, characterized by failure to ensure safety, medical care, and education.

Elder Abuse and Risk Factors

Elder abuse often affects individuals over 60 and includes several forms of violence and neglect.
Key risk factors include older age, cognitive decline, dependency on caregivers, isolation, and a history of family conflict.

Transmission and Cycle of Violence

Witnessing violence in childhood can lead to the acceptance and perpetuation of abusive behaviors in future relationships.
The cycle of violence includes phases of tension building, erupting violence, and subsequent remorse from the abuser.

Biological and Psychological Responses

Trauma can lead to physical injuries and negative health outcomes, including mental health disorders such as PTSD and depression.
Common psychological responses include fear, low self-esteem, guilt, and shame.
Social repercussions involve difficulties with intimacy and a risk of revictimization.

Goals and Assessment in Care

Primary goals in caring for abuse survivors include preventing injury, stopping the violence, and safeguarding the survivor.
Effective assessment requires establishing a trusting nurse-patient relationship and conducting lethality assessments.
Screening tools include the abuse assessment screen and specific scales for adolescent abuse.

Nursing Diagnoses and Psychological Observations

Common nursing diagnoses include post-trauma syndrome, delayed development, impaired memory, and rape trauma syndrome.
Observational symptoms include anhedonia, concentration issues, and feelings of worthlessness or guilt.

Treatment for Abusers

Treatment programs for abusers are often court-mandated, focusing on cognitive behavioral therapy and psychoeducation.
Comprehensive intervention efforts integrate criminal justice support and emphasize accountability for violent actions.

Studying That Suits You

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Description

This quiz covers key concepts related to the types of violence and abuse as outlined in Chapter 40 of your study material. You will learn about domestic violence, intimate partner violence, and various forms of abuse affecting children and elders. Test your knowledge with these flashcards to better understand how to care for victims of abuse.

Caring for Victims of Abuse - Chapter 40