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Questions and Answers
Questions and Answers
A child consistently displays apprehension and fear when around their parents. Besides fear, which behavior might the nurse also observe?
A child consistently displays apprehension and fear when around their parents. Besides fear, which behavior might the nurse also observe?
- Sudden improvement in academic performance.
- Extreme aggressiveness or withdrawal. (correct)
- Increased appetite and weight gain.
- Preference for engaging in group activities with peers.
Which finding, observed during a physical examination, would lead a healthcare provider to suspect sexual abuse in a child?
Which finding, observed during a physical examination, would lead a healthcare provider to suspect sexual abuse in a child?
- Sudden onset of bed-wetting after a period of dryness.
- Difficulty walking or sitting accompanied by pain or swelling of the genitals. (correct)
- Consistent demonstration of age-appropriate knowledge about sexual activity.
- Complaints of frequent headaches and stomach aches.
A child is suspected of being abused. What is the most important action when interacting with the parents?
A child is suspected of being abused. What is the most important action when interacting with the parents?
- Being supportive and non-judgmental to facilitate open communication. (correct)
- Avoiding direct questions about the child's injuries to prevent defensiveness.
- Immediately confronting them with the suspicions to gauge their reaction.
- Emphasizing the potential legal consequences of child abuse to ensure compliance.
During an assessment, which factor in a family's history should raise a healthcare provider's concern for potential child abuse?
During an assessment, which factor in a family's history should raise a healthcare provider's concern for potential child abuse?
A nurse suspects child abuse. What is the most important step?
A nurse suspects child abuse. What is the most important step?
A child is brought in with multiple injuries. Which approach should the nurse use to document the child's physical condition?
A child is brought in with multiple injuries. Which approach should the nurse use to document the child's physical condition?
What should be the priority when caring for a child who has been abused?
What should be the priority when caring for a child who has been abused?
What should a nurse consider when planning interventions for a child who has experienced trauma?
What should a nurse consider when planning interventions for a child who has experienced trauma?
What is a primary goal for a child who has experienced abuse or neglect?
What is a primary goal for a child who has experienced abuse or neglect?
What is a myth about child abuse that could prevent identification of abuse?
What is a myth about child abuse that could prevent identification of abuse?
A woman reports being assaulted by her spouse. Which assessment finding requires immediate intervention?
A woman reports being assaulted by her spouse. Which assessment finding requires immediate intervention?
Which intervention is most important for a victim of spousal abuse?
Which intervention is most important for a victim of spousal abuse?
A patient reports injuries from domestic violence. Which nursing intervention is not appropriate initially?
A patient reports injuries from domestic violence. Which nursing intervention is not appropriate initially?
A woman discloses that her partner becomes apologetic and loving after periods of abuse, promising it will never happen again. How should the nurse interpret this?
A woman discloses that her partner becomes apologetic and loving after periods of abuse, promising it will never happen again. How should the nurse interpret this?
An elderly patient is admitted with malnutrition and poor hygiene, and expresses fear of their caregiver; what is the next step?
An elderly patient is admitted with malnutrition and poor hygiene, and expresses fear of their caregiver; what is the next step?
What is a key factor when assessing a situation of potential elderly abuse?
What is a key factor when assessing a situation of potential elderly abuse?
In cases of suspected elderly abuse, what aspect of client care should the nurse ensure is addressed?
In cases of suspected elderly abuse, what aspect of client care should the nurse ensure is addressed?
What is a common characteristic in cases of elderly abuse?
What is a common characteristic in cases of elderly abuse?
A nurse documents a client with rape trauma syndrome. Which statement describes this condition?
A nurse documents a client with rape trauma syndrome. Which statement describes this condition?
A woman reports being a victim of sexual assault. What is the priority nursing intervention?
A woman reports being a victim of sexual assault. What is the priority nursing intervention?
Which assessment finding is most important for a sexual assault victim?
Which assessment finding is most important for a sexual assault victim?
A sexual assault nurse examiner is working with a client. Which component of the examination is the priority?
A sexual assault nurse examiner is working with a client. Which component of the examination is the priority?
A 3-year-old child is brought to the clinic with multiple bruises in various stages of healing. The parent explains that the child is very active and keeps falling. The nurse suspects possible child abuse. Which action is the nurse's priority?
A 3-year-old child is brought to the clinic with multiple bruises in various stages of healing. The parent explains that the child is very active and keeps falling. The nurse suspects possible child abuse. Which action is the nurse's priority?
A 10-year-old girl is brought to the emergency department by her mother. The girl has difficulty sitting and appears uncomfortable. Upon examination, the nurse notices bruising around the genital area. The child also seems anxious and avoids eye contact. Which of the following should the nurse do first?
A 10-year-old girl is brought to the emergency department by her mother. The girl has difficulty sitting and appears uncomfortable. Upon examination, the nurse notices bruising around the genital area. The child also seems anxious and avoids eye contact. Which of the following should the nurse do first?
A nurse is caring for an 80-year-old patient who is showing signs of dehydration, poor hygiene, and unexplained bruising. The patient expresses concern about living with their adult child, saying that they are afraid of their child's anger. What is the nurse's first priority?
A nurse is caring for an 80-year-old patient who is showing signs of dehydration, poor hygiene, and unexplained bruising. The patient expresses concern about living with their adult child, saying that they are afraid of their child's anger. What is the nurse's first priority?
A 28-year-old woman presents to the clinic with bruises on her arms and face. She states that she "fell down the stairs" and does not want to get her partner in trouble. Which action should the nurse take?
A 28-year-old woman presents to the clinic with bruises on her arms and face. She states that she "fell down the stairs" and does not want to get her partner in trouble. Which action should the nurse take?
A nurse is working with a patient who is being evaluated for possible abuse. Which of the following would most likely raise suspicion of abuse in this patient?
A nurse is working with a patient who is being evaluated for possible abuse. Which of the following would most likely raise suspicion of abuse in this patient?
A nurse is caring for a 12-year-old patient with unexplained fractures and inconsistent explanations from the caregivers. What is the nurse's legal responsibility in this situation?
A nurse is caring for a 12-year-old patient with unexplained fractures and inconsistent explanations from the caregivers. What is the nurse's legal responsibility in this situation?
While working in the ER, the nurse sees each of the following clients. As a mandated reporter, the nurse knows which client is at highest risk for elder abuse?
While working in the ER, the nurse sees each of the following clients. As a mandated reporter, the nurse knows which client is at highest risk for elder abuse?
The nurse in the Emergency department is caring for a female client who experienced a sexual assault. Which of the following actions should the nurse take? Select all that apply.
The nurse in the Emergency department is caring for a female client who experienced a sexual assault. Which of the following actions should the nurse take? Select all that apply.
A woman is brought to the ER crying and shocked. She tells the nurse that she has just been raped. What should be the nurse's initial action?
A woman is brought to the ER crying and shocked. She tells the nurse that she has just been raped. What should be the nurse's initial action?
Which of the following is a characteristic commonly seen in abusers?
Which of the following is a characteristic commonly seen in abusers?
What is a potential long-term effect of child abuse on a victim's life?
What is a potential long-term effect of child abuse on a victim's life?
A nurse suspects that a child is being neglected. What is a sign of neglect?
A nurse suspects that a child is being neglected. What is a sign of neglect?
What is the priority to ensure with post abuse/neglect?
What is the priority to ensure with post abuse/neglect?
What step should a healthcare provider NOT take when they suspect child abuse is occuring?
What step should a healthcare provider NOT take when they suspect child abuse is occuring?
Questions and Answers
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Flashcards
Flashcards
What is domestic violence?
What is domestic violence?
Any behavior that causes physical, psychological, or emotional harm to another person.
What is child abuse?
What is child abuse?
Physical, sexual, or psychological maltreatment or neglect of a child.
Physical signs of child abuse?
Physical signs of child abuse?
Lack of crying, extreme aggressiveness, or withdrawal in children.
Sexual abuse signs in children?
Sexual abuse signs in children?
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Emotional signs of child abuse?
Emotional signs of child abuse?
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What should I assess for?
What should I assess for?
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What to do if you suspect child abuse?
What to do if you suspect child abuse?
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Why child victims don't complain?
Why child victims don't complain?
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Why accidents raise concern?
Why accidents raise concern?
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What are effects of child abuse?
What are effects of child abuse?
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Nurses' legal duty?
Nurses' legal duty?
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What are nursing interventions?
What are nursing interventions?
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Evaluation indicators?
Evaluation indicators?
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What is spouse abuse?
What is spouse abuse?
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The cycle of abuse stages?
The cycle of abuse stages?
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Signs of spouse abuse?
Signs of spouse abuse?
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What are assessment red flags?
What are assessment red flags?
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Interventions for spouse abuse?
Interventions for spouse abuse?
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What is elderly abuse?
What is elderly abuse?
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Signs of elderly abuse?
Signs of elderly abuse?
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Intervention steps?
Intervention steps?
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Sexual abuse statistics?
Sexual abuse statistics?
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Confidentiality protocol.
Confidentiality protocol.
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What might show abuse?
What might show abuse?
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Nurse legal responsibility?
Nurse legal responsibility?
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What is nurse action?
What is nurse action?
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After the abuse the action?
After the abuse the action?
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Flashcards
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Study Notes
Study Notes
Child Abuse
- Child abuse can be physical, sexual, emotional, or neglectful.
Signs of Child Abuse
- Physical abuse signs: lack of crying or extreme aggressiveness/withdrawal, an apprehensive child, fear of parents.
- Sexual abuse signs: difficulty walking/sitting, pain or swelling of the genitals, unwillingness to change clothes, torn or bloody underclothing.
- Emotional abuse signs: suicide attempts, learning or speech disorders.
- Neglect signs: poor hygiene, inadequate weight gain, constant fatigue, inconsistent school attendance, consistent hunger, untreated illnesses.
Assessment for Child Abuse
- Look for fractures in various stages of healing.
- Note any failure to thrive or unattended physical problems.
- Be aware of torn/stained/bloody underclothes and lacerations of external genitalia.
- Watch for bed wetting or soiling.
- Check for sexually transmitted diseases (STDs).
- Take note if a parent sees the child as different or uses the child to meet their own needs.
- Note if a parent seldom touches or responds to the child, as this may be critical.
- Watch if a child appears frightened or withdrawn in the presence of a parent or adult.
- Be aware of a family history of frequent moves, unstable employment, marital discord, or family violence.
- Note if one parent answers all the questions.
Procedure if Abuse is Suspected
- First assess the situation.
- Ensure the child's safety
- Report the abuse.
- Provide support
Common Myths about Child Abuse
- Myth: If the child doesn't complain, abuse isn't happening.
- Fact: Children may be afraid or unable to express abuse due to fear of retaliation, confusion, or loyalty to the abuser.
- Myth: Most injuries in children are accidental.
- Fact: Repeated injuries, injuries in unusual locations, or patterns of injury should raise concern, even though many are accidental.
- Myth: Only biological parents abuse children.
- Fact: Anyone with access to the child, including relatives, caregivers, and even teachers, could be an abuser.
Effects of Child Abuse
- Impaired brain development
- Poor physical health
- Psychological and relationship issues
- Substance and behavioral isues
- Abusive towards others
Characteristics of Abusers
- History of abuse as a child
- Low self-esteem and poor impulse control
- Drug & alcohol abuse
- Narcissistic personality and social isolation
Analysis of Abuse
- Situational low self-esteem, fear, and pain
- Altered parenting and post-trauma response
- Powerlessness and high risk for injury
Setting Goals
- Ensure safety until home assessment is made by child welfare agency.
- Child involvement with nurse for emotional support.
- Help child's parents contact agencies and participate in therapy to deal with their own rage/helplessness.
Nursing Plan & Interventions
- Nurses are legally required to report all cases of suspected child abuse to the appropriate state/local agency.
- Take color photographs of injuries.
- Document factual, objective statements of child's physical condition, child family interaction, and interview with the family.
- Establish trust and care for the child's physical problems, as these are the immediate needs.
- Utilize principles of crisis intervention.
- Teach basic child development and parenting skills to the family.
- Support need for family therapy and recognize feelings of disgust and contempt for the parents.
- Provide nursing care specific to physical/emotional symptoms.
- Conduct interviews with child and parents separately.
- Inform parents of requirement of suspected abuse.
- Do not probe for information or try to probe abuse.
- Be supportive and nonjudgemental.
- Provide referrals for assistance and therapy.
Evaluation
- Physical symptoms have been treated.
- Child/safety has been ensured.
- Parents have agreed to seek help.
Spousal Abuse
- 1 in 6 women and 1 in 16 men have experienced violence by an intimate partner (AIHW, 2018).
- An estimated 6 million women are assaulted by a mate each year.
Cycle of Abuse
- Stages: Tension Builds, Acute Battering, Honeymoon, Cycle Repeats with subsequent battering usually more severe.
Assessment for Spousal Abuse
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Watch for headaches
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Look for injuries to the face, head, body, and genitals
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Note reported accidents
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Take note of symptoms of severe anxiety, depression, and insomnia
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Be aware of delay between time of injury and time of treatment.
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Note if anxious when answering questions about injury.
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Be aware of abdominal injuries during pregnancy.
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Take note if they look to the abuser for answers to questions related to injuries.
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Be aware of depression or suicidal ideation.
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Take note if they feel responsible for provoking spouse.
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Low self-esteem
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Abrasions, cuts, lacerations, sprains, and black eyes
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Psychosomatic/somatoform complaints
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Concurrent use of alcohol and drugs
Interventions for Spousal Abuse
- Provide a safe environment.
- Document treatment of physical injuries .
- Encourage verbalization of the actual home environment.
- Provide referral to shelters.
- Encourage decision-making.
- Rebuilding stage: Therapy
- Establish trust and use a non-judgmental approach.
- Treat physical wounds and injuries.
- Document factual, objective statements of client's physical condition, injuries, and interaction with significant others/family.
- Determine potential for farther violence.
- Provide crisis intervention.
- Refer to shelter if necessary and/or desired with adult's consent.
- Assist client with contacting authorities if charges are to be pressed.
Elderly Abuse
- An act that causes physical, verbal, or psychosocial injury/exploitation, as well as physical neglect of an aged adult.
- Underreported; estimated number varies from 1%-10% of the elderly population.
- The majority of abuse is committed by spouses and children but also includes other caregivers.
Assessment for Elder Abuse
- Look for malnutrition, physical abuse, and poor hygiene.
- Note omission or incorrect administration (overmedication) of medications.
- Examine any welts, bruises and fractures.
- Note neglect and economic exploitation.
Interventions for Elder Abuse
- Refer to state laws for reporting elder abuse and nurses' liability.
- Obtain client's consent for treatment and/or transfer.
- Document physical/emotional conditions of client.
- Refer client/caregiver to agencies for assistance.
- Encourage client and caregiver to discuss problems and encourage communication between them.
Sexual Abuse: Rape
- Estimated occurrence, only 10% reported.
- Most victims are female, between 15-25 years old.
Response to Rape
- Shock
- Outward adjustments
- Integration
- Assessment: Physical Injury and Emotional Response
Analysis of Rape
- Rape trauma syndrome
- Silent reaction
- Post-trauma reaction
Interventions for Rape
- Give emotional support in a nonjudgmental manner.
- Maintain confidentiality.
- Listen to the client, document physical findings, and provide a referral to a rape counselor with follow-up care.
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