NUR 361 Psych Test 2 Review - Family Violence PDF

NUR 361 Psych Test 2 Review Family Violence (9 questions) Abuse- To use wrongfully or in a harmful way. The maltreatment of one person by another. Improper treatment or conduct that may result in injury. The Cycle of Battering ○ Phase I. The Tension-Building Phase- The woman senses that the man’s to...

NUR 361 Psych Test 2 Review Family Violence (9 questions) Abuse- To use wrongfully or in a harmful way. The maltreatment of one person by another. Improper treatment or conduct that may result in injury. The Cycle of Battering ○ Phase I. The Tension-Building Phase- The woman senses that the man’s tolerance for frustration is declining. He becomes angry with little provocation but, after lashing out at her, may be quick to apologize. Minor battering incidents may occur during this phase. May last from a few weeks to many months or even years. ○ Phase II. The Acute Battering Incident (“Crisis Stage”)- This phase is the most violent and the shortest, usually lasting up to 24 hours. ○ Phase III. Honeymoon/Reconciliation Phase- In this phase, the batterer becomes extremely loving, kind, and contrite. He promises that the abuse will never recur and begs her forgiveness. Usually lasts somewhere between the lengths of time associated with phases I and II, it can be so short as to almost pass undetected. In most instances, the cycle soon begins again with renewed tensions and minor battering incidents. ○ Phase IV. Recovery Stage/Calm Phase- Justifications or explanations are made to help both partners excuse the abuse. The abuser may also deny that the abuse occurred or minimize its seriousness. Abuse- domestic, child, or elder ○ Physical Abuse- physical battering. Trauma/pattern of injury inconsistent with event history; delay in presentation. ○ Emotional Abuse- verbal abuse. Adults frequently present with complaints associated with long-term stress and chronic anxiety. Children or adolescents may present with behavioral problems. The elderly may present as withdrawn or fearful of authority. ○ Physical and Emotional Neglect- Lack of attention to person or environment. Examples include Lack of food and water, poor physical hygiene, and unsafe living conditions. ○ Sexual Abuse- rape, molestation, incest, fondling, exploitation. ○ Characteristics of the Abuser- Manipulative Aggressive Lack of responsibility Possessive. Isolates her from her family and friends Gives her an allowance too small to pay bills Forces sex Threatens to harm the children ○ Signs/Symptoms of Elder, Domestic, and Child Abuse Bruises of various ages Fractures in different stages of healing Report that does not match injury ○ Nursing Interventions Display sensitivity Provide reassurance Use therapeutic touch Clarify the fact that abuse is abnormal Provide physical and emotional support Provide resources Treat physical wounds Teach caregivers to express frustration verbally rather than physically Provide a support person to stay with the patient who was just abused Provide emergency shelter resources Nurses need to use self-reflection in abuse cases as they could feel anger for the perpetrator Treatment Modalities ○ Trauma-Informed Care- recognizes and responds to the signs, symptoms, and risks of trauma to better support the health needs of patients who have experienced Adverse Childhood Experiences (ACEs) and toxic stress. ○ Crisis Intervention- a short-term management technique designed to reduce potential permanent damage to an individual affected by a crisis. ○ Safe Houses and Shelters- provide a variety of services, and the residents receive emotional support from staff and one another. ○ Family-Based Interventions- develop democratic (respectful, interactive) ways of solving problems.