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What is the most common form of maltreatment identified in children?
What is the most common form of maltreatment identified in children?
Which Act defines child abuse and neglect at the federal level?
Which Act defines child abuse and neglect at the federal level?
Which of the following is NOT a category of child abuse and neglect?
Which of the following is NOT a category of child abuse and neglect?
What is a key characteristic of elder abuse according to the provided content?
What is a key characteristic of elder abuse according to the provided content?
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In cases of elder abuse, what is the most common relationship of the perpetrator to the victim?
In cases of elder abuse, what is the most common relationship of the perpetrator to the victim?
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What is a mandated reporter required to do?
What is a mandated reporter required to do?
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Which type of elder abuse involves failure to prevent harm by a caregiver?
Which type of elder abuse involves failure to prevent harm by a caregiver?
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How many main categories of elder abuse are identified?
How many main categories of elder abuse are identified?
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What is a key aspect of preparing for an interview with a client who has experienced domestic violence?
What is a key aspect of preparing for an interview with a client who has experienced domestic violence?
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How often are women in the U.S. victims of intimate partner violence?
How often are women in the U.S. victims of intimate partner violence?
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Which of the following can be included in intimate partner violence according to the definitions provided?
Which of the following can be included in intimate partner violence according to the definitions provided?
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What is the estimated number of calls made daily to intimate partner violence hotlines in the U.S.?
What is the estimated number of calls made daily to intimate partner violence hotlines in the U.S.?
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Which of the following categories is NOT part of intimate partner violence?
Which of the following categories is NOT part of intimate partner violence?
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What percentage of elderly individuals experience elder abuse in the U.S.?
What percentage of elderly individuals experience elder abuse in the U.S.?
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What is a documented statistic regarding child abuse in the U.S.?
What is a documented statistic regarding child abuse in the U.S.?
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What is one purpose of the screening tools for domestic violence?
What is one purpose of the screening tools for domestic violence?
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What is the definition of human trafficking?
What is the definition of human trafficking?
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Which sign is NOT commonly associated with human trafficking?
Which sign is NOT commonly associated with human trafficking?
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Which group is considered vulnerable to human trafficking?
Which group is considered vulnerable to human trafficking?
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What percentage of human trafficking victims are children?
What percentage of human trafficking victims are children?
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Which statement is true regarding abuse of individuals with intellectual and developmental disabilities (IDD)?
Which statement is true regarding abuse of individuals with intellectual and developmental disabilities (IDD)?
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Which sign indicates potential abuse or neglect?
Which sign indicates potential abuse or neglect?
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What may complicate obtaining a history on injuries for victims with limited communication?
What may complicate obtaining a history on injuries for victims with limited communication?
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What is a common indicator of potential human trafficking?
What is a common indicator of potential human trafficking?
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Which behavior may indicate potential abuse in individuals with IDD who have limited communication?
Which behavior may indicate potential abuse in individuals with IDD who have limited communication?
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What is a common behavior exhibited by caregivers who may be abusing an IDD individual?
What is a common behavior exhibited by caregivers who may be abusing an IDD individual?
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Which of the following is NOT considered a form of neglect in the care of IDD individuals?
Which of the following is NOT considered a form of neglect in the care of IDD individuals?
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What behavior might an IDD individual show towards pets if experiencing neglect or abuse?
What behavior might an IDD individual show towards pets if experiencing neglect or abuse?
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What should be considered when assessing for risk factors in IDD individuals?
What should be considered when assessing for risk factors in IDD individuals?
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Which symptom might suggest possible sexual abuse in an IDD patient?
Which symptom might suggest possible sexual abuse in an IDD patient?
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What type of behavior might indicate that an IDD individual is being socially isolated?
What type of behavior might indicate that an IDD individual is being socially isolated?
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Which of the following actions by a caregiver could signal a risk for exploitation?
Which of the following actions by a caregiver could signal a risk for exploitation?
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What should you do if there are safety concerns for yourself or the client before screening?
What should you do if there are safety concerns for yourself or the client before screening?
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What is a recommended action when screening for intimate partner violence (IPV) with women of child-bearing age?
What is a recommended action when screening for intimate partner violence (IPV) with women of child-bearing age?
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What is the purpose of using a calendar in the Danger Assessment process?
What is the purpose of using a calendar in the Danger Assessment process?
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Which screening tool is NOT mentioned as a method for IPV screening?
Which screening tool is NOT mentioned as a method for IPV screening?
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Which of the following should be included in a safety plan for a client?
Which of the following should be included in a safety plan for a client?
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What is the main purpose of the Elder Abuse Suspicion Index?
What is the main purpose of the Elder Abuse Suspicion Index?
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Which documentation method is crucial when recording instances of abuse?
Which documentation method is crucial when recording instances of abuse?
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When interviewing a child for signs of abuse, what is an important consideration?
When interviewing a child for signs of abuse, what is an important consideration?
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What type of consent is required prior to taking photographic documentation in a medical record?
What type of consent is required prior to taking photographic documentation in a medical record?
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Which of the following is a key component of collecting subjective data during assessments?
Which of the following is a key component of collecting subjective data during assessments?
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In cases where a patient is cognitively impaired or unconscious, what is typically viewed as ethical regarding photographic documentation?
In cases where a patient is cognitively impaired or unconscious, what is typically viewed as ethical regarding photographic documentation?
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According to the guidelines, how should victims of abuse or neglect be referred?
According to the guidelines, how should victims of abuse or neglect be referred?
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What is an important item to gather as part of a safety plan?
What is an important item to gather as part of a safety plan?
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What should be emphasized when asking questions during a client assessment?
What should be emphasized when asking questions during a client assessment?
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What type of questions should be avoided when interviewing victims of abuse?
What type of questions should be avoided when interviewing victims of abuse?
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What should be considered a potential cue for signs of abuse during an assessment?
What should be considered a potential cue for signs of abuse during an assessment?
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Study Notes
Chapter 10: Assessing for Violence
- Violence encompasses intimate partner violence, child abuse, elder abuse, and human trafficking. These are serious health concerns.
- In the U.S., one in four women and one in ten men experience intimate partner violence.
- On average, 19,000 calls are made daily to domestic violence hotlines in the U.S.
- Approximately one in seven children experience abuse or neglect, with five children dying each day as a result.
- Elder abuse affects one in ten people over 60 years old.
- Healthcare settings must have policies and procedures in place to address family violence.
Learning Objectives
- Describe the preparation of a physically and emotionally safe environment for interviewing and assessing clients experiencing domestic violence.
- Use domestic violence screening tools to identify victims across the lifespan.
- Teach clients at risk of violence how to create a safety plan.
- Use injury maps to document physical findings.
- Analyze client interview and physical assessment data to form valid judgments regarding domestic violence or suspected abuse.
Types of Violence
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Intimate Partner Violence (IPV): IPV is harm caused by an intimate partner, including physical, sexual, stalking, or psychological aggression. This includes current or former partners. In the U.S., approximately 10 million people are physically abused by intimate partners annually.
- Physical Violence: Use of force causing injury or harm.
- Sexual Violence: Sexual acts without consent.
- Stalking: Repeated and unwanted attention causing fear.
- Psychological Aggression (Emotional Abuse): Verbal or non-verbal behaviors aimed at harming the victim.
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Child Abuse and Neglect:
- 656,000 children are victims of child abuse and neglect annually.
- The most common form of maltreatment is neglect, followed by physical abuse.
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Elder Abuse and Neglect:
- Often underreported; estimates suggest only one in 24 cases are actually reported.
- Perpetrator is often a family member, most commonly an adult child or spouse.
- Includes intentional acts and failure to act by a caregiver.
- Five main categories of abuse: Physical, sexual, psychological, neglect, and financial abuse.
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Human Trafficking:
- Involves compelling or coercing a person to provide labor or services, or to engage in commercial sex acts.
- Approximately 40 million people are victims worldwide.
- 71% of victims are women and girls, and 25% are children.
- Many vulnerable groups are targeted, including unhoused people, runaway youth, sexual/gender minorities, undocumented migrants, and victims of previous violence.
Nursing Assessment
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Screening: Implementing standardized tools, and recognizing signs of abuse, neglect, and exploitation.
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Interviewing Victims: Interviewing separately from potential perpetrators when possible to collect information without undue influence. Listen for inconsistent narratives and cues regarding abuse.
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Safety Plan: Assessing and facilitating a plan. (Example- Have you packed a bag? Know escape routes, code words).
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Documentation: Precise documentation. Use detailed, nonbiased progress notes, injury maps, photographic documentation (when appropriate and with consent), and verbatim quotes from clients regarding violence, including details of sexual abuse. Report suspected cases to appropriate authorities.
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Danger Assessment: Utilize calendars and yes/no questions to assess the severity and frequency of abuse.
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Mandatory Reporting: Know state-specific definitions of and reporting requirements for child abuse/neglect, and elder abuse.
Additional notes for assessment of Individual with Developmental Disabilities (IDD)
- Abuse, exploitation, and neglect occur more frequently in clients with IDD.
- Perpetrators are often known to victims
- Communication limitations can make it difficult to gather a full history.
- Indicators of abuse can include unexplained physical or mental health changes, behavioral changes, and changes in caregiver behavior.
- Assess for recurring pattern of inadequate care (missed appointments, non-engagement).
- Behavioral factors that might suggest abuse in clients with IDD. (e.g., new onset of incontinence, excessive masturbation).
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Description
This quiz explores key aspects of assessing violence, including intimate partner violence, child abuse, and elder abuse. It focuses on creating a safe environment for interviews, utilizing screening tools, and developing safety plans for clients. Understand the prevalence of violence and the importance of healthcare policies in addressing these issues.
