NSG 234 Exam #2-Questions with Correct Answers/ Verified/ Latest Update
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Course
NSG 234
Institution
NSG 234
Family Violence
(Mental Health) - Family Violence
(Mental Health)
Scary stats - An estimated 73,000 hospitalizations and 1500 deaths among women are
attributed to domestic violence each year!
Comorbidity - Secondary effects of violence, such as anxiety, depression, and suicidal
ideation are h...
Scary stats - ✔✔An estimated 73,000 hospitalizations and 1500 deaths among women are
attributed to domestic violence each year!
Comorbidity - ✔✔Secondary effects of violence, such as anxiety, depression, and suicidal
ideation are health issues that can last a lifetime. Exposure to violence can affect a child's
development, b/c the energy needed to accomplish developmental tasks goes to coping
with violence.
Social factors - ✔✔that reinforce violence include wide acceptance of violent movies, video
games, internet sites and comic books.
Theory of family violence - ✔✔Refers to physical injury or mental anguish inflicted by one
family member upon another and the omission or deprivation of essential services by a
caregiver.
Read Box25-2 and 25-3 - ✔✔for characteristics of violent parents and elder abusers
Conditions for violence - ✔✔Requires: a perpetrator, someone who by age or situation is
vulnerable & a crisis situation.
More likely to engage in family violence when substances are used. Perpetrators have poor
social skills & lack supportive relationships outside the marriage.
Pregnancy often serves to increase violence - ✔✔. Victims are at greatest risk when they
attempt to leave the relationship.
Childen & Adolescents - ✔✔Children if younger than 3
,Adolescents are abused at least as frequently as younger children, yet such abuse is often
overlooked.
Elder Abuse - ✔✔Elders-their dependency needs is what puts them at risk for abuse.
Crisis situation - ✔✔-is one that puts stress on the family. Stressful life events tax coping
skills, leaving the perpetrator incapable of dealing with what is going on.
Cycle of violence - ✔✔Periods of intense violence alternate with normal periods of safety,
hope and trust.
Tension building stage - ✔✔-pushing and shoving is acceptable, so the abuser rationalizes
that their behavior is acceptable.
Acute battering stage - ✔✔-the abuser releases the built up tension by brutal and
uncontrollable beatings
The honeymoon stage - ✔✔- kindness and loving behaviors. Unfortunately without
intervention this stage will fade away as tension starts to build.
Escalation-deescalation - ✔✔- the violence increases over time.
See figure 25-1 p511.
There are 5 types of maltreatment: - ✔✔Physical violence
Sexual violence
Emotional violence
Neglect
Economic maltreatment
Assessment - ✔✔Read about interview guidelines Box 26-4 p512. the do's and don'ts.
, Self assessment - ✔✔-the nurse should be aware of his or her own personal emotions and
thoughts. Read common responses of health professionals to violence.
Abuse Assessment Screen - ✔✔Look over p.517 Figure 25-2 the abuse assessment screen.
pg 591
It is also useful to assess: - ✔✔It is also useful to assess:
Violence indicators
Levels of anxiety and coping responses
Family coping patterns
Support systems
Suicide/ homicide potential
Drug or alcohol use
Health record - ✔✔It is important to maintain accurate records- the possibility of legal
action makes it essential that all records are accurate and detailed.
Nursing dx - ✔✔Nursing diagnoses are focused on the underlying causes and symptoms of
family violence.
Risk for injury
Risk for violence
Caregiver role strain
Disabled family coping.
Outcome criteria - ✔✔It is hoped that the abuse would cease.
It is also appropriate to include outcomes focusing on improved coping, self esteem, social
support, and pain control.
As well as abuse protection and abuse recovery.
Planning - ✔✔Planning addresses safety first for the client and then sees if the abuser is
willing to learn violent free alternatives to frustration and aggression.
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