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Mental Health 2
Family Violence
| Question | Answer |
|---|---|
| What are the secondary effects of violence? | anxiety, depressi suon, and suicidal ideation |
| How does exposure to violence adversely affect children's development? | The energy needed to accomplish developmental tasks successfully goes to coping with violence. |
| People involved in family violence are found to have a higher incidence of | depression, suicidal feelings, self-contempt, inability to trust, and an inability to develop intimate relationships later in life. |
| Victims of severe violence are at a higher risk for experiencing recurring symptoms of posttraumatic stress disorder such as: | flashbacks, dissociation (out of body experiences), poor self esteem, compulsive or impulsive behaviors and multiple somatic complaints. |
| Children who witness violence in their homes after the age of 5 or 6 show an indication of identifying with | the aggressor and losing respect for the victim. |
| Children who witness violence in their homes are at a greater risk for developing ______ and ______ problems throughout their lives. | behavioral, emotional |
| Some mental and behavioral disorders are associated with violence in childhood. Examples of thes disorders are: | depressive disorders , PTSD, somatic complaints, low self-esteem, phobias, antisocial behavior, child or spouse abuse |
| Adolescents are more likely to have behaavioral symptoms such as: | failing grades, difficulty forming relationships, increased incidence of theft, police arrest, and violent behaviors, seductive or promiscuous behaviors, and running away from home. |
| Physical injury or mental anguish inflicted by one family member upon another and the omission or deprivation of essential services by a caregiver. | family violence |
| The actual occurence of violence requires three things, what are they? | A perpetrator; someone who by age or situation is vulnerable; a crisis situation. |
| The propensity for violence is rooted in childhood and manifested by a general lack of | self-regard, dissatisfaction with life, and inability to assume adult roles. |
| Those who initiate violence and often consider their own needs to be more important than anyone else's and look toward others to meed their needs. | Perpetrators |
| Individuals are more likely to engage in family violence when they use | substances |
| Victims of violence are at greatest risk for violence when | they attempt to leave the relationship |
| When stressful life events tax coping skills, leaving the perpetrator incapable of dealing with what is going on, it is called a | crisis situation |
| The cycle of violence is a described as periods of | intense violence alternating with periods of safety, hope, and trust. |
| The _____ ______ stage is characterized by minor incidents such as pushing, shoving, and verbal abuse. | tension-building |
| During this stage, the victim does not say that the abuse is unacceptable, for fear that more severe abuse will follow. Abusers then rationalize that their abusive behavior is acceptable. | tension-building stage |
| During the ______ ______ stage, the perpetrator releases the built-up tension by brutal and uncontrollable beatings. | acute battering |
| The ______ stage may be characterized by kindness, and loving behaviors. | honeymoon |
| When ________-________ occurs, conditions of anger and fear escalate until an incident of violence takes place, after which there is a defusing of tension and a brief feeling of safety. | escalation-deescalation |
| There are 5 different types of maltreatment, what are they? | Physical violence, sexual violence, emotional violence, neglect, and economic maltreatment. |
| The infliction of physical pain or bodily harm. | physical violence |
| Any for of sexual contact or exposure without consent, or in circumstances in which the victim is incapable of giving consent. | sexual violence |
| The infliction of mental anguish such as: terrorizing, demeaning an individuals worth, directing hostility toward an individual,persistently ignoring an individual, consistently belittling an individual, and withholding warmth and affection from someone. | emotional violence |
| Failure to provide the medical, dental, or psychiatric care needed to prevent or treat physical or emotional illnesses. | physical neglect |
| Failure to provide emotional nurturing and the physical and cognitive stimulation needed to ensure freedom from development deficits. | developmental neglect |
| When a child's caretakers deprive the child of the education available in accordance with the state's education laws. | educational neglect |
| Illegal or improper exploitation of funds or other resources for one's personal gain or withholding of support. | economic maltreatment |
| A series of minor complaints such a headaches, back trouble, dizziness, and accidents especially falls may be covert indications of | violence |
| Overt signs of battering include: | bruises, scars, burns, and other wounds in barious stages of healing, particularly around the head, face, chest, arms, abdomen, back, buttocks, and genitalia. |
| If the pulmonary examination of a baby is not normal, the possibility of | rigorous shaking must be considered. |
| Whenever physical or sexual violence is occuring, ______ violence also occurs. | emotional |
| Failure to provide for the needs of the victim even when adequate funds are available is a sigh of | economic maltreatment |
| Often the means of attempting suicide in abused patients is | overdose with a combination of alcohol and other central nerfous system depressants, tranquilizerd, or sleeping medications. |
| What are the factors that place a vulnerable person at greater risk for homicide from continuing and escalating violence? | Presence of a gun in the home, alcohol and drug abuse, HX od violence on the part of the perpetrator, extreme jealousy and ovsessiveness on the part of the perpetrator. |
| Outcomes for Abuse Cessation might be defined as: | physical, emotional, sexual, financial and financial exploitation abuse has ceased, |
| A reasonable basis for suspecting maltreatment, not _____ is all that is required to report abuse. | proof |
| This type if prevention of violence consists of measures taken to prevent the occurrence of family violence. crises are examples of this type of prevention | primary |
| Identifying people at risk, providing health teaching, and coordinating supportive services to prevent crises are examples of this type of prevention. | primary prevention of violence |
| Specific strategies of primary prevention of violence would be what 5 things? | Reducing stress, reducing the influence of risk factors, increasing social support, increasing coping skills, and increasing self-esteem. |
| This level of prevention in family violence involves early intervention in abusive situations to minimize their disabling or long-term effects. | Secondary prevention |
| ______ prevention in family violence involves nurses' facilitating the healing and rehabilitative process by counseling individuals and families, providing support to survivors, and helping them to achieve the optimal level of safety, health & well being. | tertiary |
| ______ is useful to emphasize that people have a right to live without fear of violence or physical harm and without fear of assault. | coundseling |
| The role of the nurse in counseling is to | support the victim, counsel about safety, and facilitate access to other resources as appropriat. |
| A plan for a fast escape when violence recurs. | a safety plan |
| Milieu therapy for family is geared toward | stabilizing the home situation and maintaining a violence-free environment. |
| The interventions offered _____ _______ should leave options for growth, increase in self-esteem, and a higher quality of life for all family members. | milieu therapy |
| Providing and maintaining a therapeutic environment in the home ideally involves three levels of help for violent families. What are they? | Provide economic support, job opportunities and social services; arrange social support for family; encourage and provide family therapy. |
| The primary goal of intervention in family violence is | empowerment |
| Parents who are potential candidates for special attention regarding family violence are: | New parents whose attitude toward the infant is rejecting, hostile, or indifferent; teenage parents; retarded parents; parents who grew up watching their mothers being beaten. |
| What is the biggest risk factor for family violence? | A parent who grew up watching their mothers being beaten. |
| The goals of individual therapy for the survivor are: | empowerment and practice in recognizing and selecting productive life options and developing a solid send of self. |
| The psychological symptoms shown by battered women such as depression, anxiety, somatization or PTSD are labeled as | "battered woman syndrome" |
| Many perpetrators meet the criteria for the what disorder on the DSM-IV-TR? | intermittent explosive disorder |
| Therapy for the perpetrator is most effective when it is _____ _______ because then the perpetrator is more likely to complete the course of treatment. | court mandated. |
| Family therapy should take place only if the violence is _____ and if both partners agree to be involved. | recent |
| Nurses engaged in therapy with perpetrators (do/do not)have a duty to warn potential victims if they conclude that the perpetrator is a danger. | do |
| Identifying people at high risk and providing health teaching about recognizing behaviors and situations that might trigger violence are examples of | primary prevention |
| With _______ ________, family members show the signs and symptoms of isolation, fear, feelings of shame and low self-esteem, feelings of worthlessness, depression, and helplessness | ineffective coping |
| When the nurse interviews an adult victim of abuse the best approach is to be | direct and professional |
| When treatment for injuries sustained during an incident of abuse is sought from the primary physician, the client is receiving | secondary prevention |
| What distinction can be made between abuse and neglect? | Neglect is a failure to provide; abuse is a failure of control of aggression. |
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