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Psych Nursing Violence and Trauma Chap 41
Psych Nursing Violence and Trauma Chap 41
24
Nursing
Professional
01/03/2011

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Cards

Term
CYCLE OF VIOLENCE
Definition

1. TENSION BUILDING

2. SERIOUS BATTERING INCIDENT

3. HONEYMOON

Term
TENSION BUILDING STAGE: FOR MEN
Definition

He has high expectations of woman

Blames her for anything that goes wrong

He does NOT try to control his behaviors

Does not admit to inappropriate behaviors

Verbal and minor physical abuse increases

He becomes more possessive of woman if afraid she is leaving

He gets more frantic and controlling

Misinterprets her withdrawal as rejections

Term
SERIOUS BATTERING INCIDENT: MEN
Definition

INTERNAL OR EXTERNAL TRIGGER EVENT

Battering usually occurs in private

He threatens her if she tries to get help

Justifies behavior

Minimizes severity of abuse

His stress is relieved

 

pg.624

Term
HONEYMOON STAGE: MEN
Definition

He becomes loving, charmin, beging for forgiveness, making promisies

He truly believes he will not abuse her again

He feels he has taught her a lesson

 

pg. 624

 

This stage becomes a deterrent for the woman to leave the abusive situation

Term

WOMAN CYCLE OF VIOLENCE:

TENSION BUILDING STAGE

Definition

She is nurturing, compliant and tries to please the man

Denies seriousness of the problem

Feels she can control his behaviors

Blames factors of work, alcohol, stress, drugs

Takes the minor abuse, doesn't feel she deserves it

Gets scared and tries to hide

Might call for help if tension becomes unbearable

Term
SERIOUS BATTERING INCDENT: WOMAN
Definition

Might call for help if she feels afraid of being killed

Initial reaction is shock, disbelief, denial

Fears more abuse if police come, may plead not to arrest or press charges

Anxious, ashamed, humiliated,sleepless, fatigued,depressed

Lies about injuries, often waits a day or more for medical help

pg. 624

Term
HONEYMOON STAGE : WOMAN
Definition

Sees his loving behaviors as the real person and tries to make up

Wants to believe that the abuse will not happen again

Feels he will get help, leaving makes her feel guilty

Believes in the relationship

 

BIGGEST FACTOR THAT DETERS WOMAN FROM LEAVING

Term
NURSE PRIORIY INTERVENTION WHEN WOMAN HAS BEEN REPORTADLY ABUSED AND COMES TO CLINIC OR ER
Definition

HELP THE CLIENT TO DEVISE A SAETY OR ESCAPE PLAN WHEN ABUSE HAPPENS AGAIN**

 

Ask directly about the abuse, BUT AVOID PRESSURING THE VICTIM: "Did anyone hurt you?"**

 

Provide resources to give her assistance with her actions**

FOCUS ON  PHYSICAL SAFETY AND EMOTIONAL SECURITY**

 

HAVE THE PARTNER REMAIN IN WAITING AREA IF HE IS WITH HER **

Term
EFFECTS OF CHILDHOOD SEXUAL ABUSE ON THE CHILD
Definition

Wrist slashing, alcohol, drug abuse, binge eating, unstable relationships

 

pg. 615-617

Term
KEY NURSING INTERVENTIONS FOR SURVIVIORS OF CHILDHOOD ABUSE
Definition

PRIORITY IS TO SET LIMITS ON SELF DESTRUCTIVE OR SELF HARM PATTERNS

 

PG. 619

Term
EFFECTS OF CHILDHOOD SEXUAL ABUSE ON THE ADOLESCENT
Definition
PG. 615
Term
EFFECTS OF CHILDHOOD SEXUAL ABUSE ON THE ADULT
Definition
PG. 615-616
Term

RECOVERY FROM VIOLENCE AND TRAUMA STAGES

STAGE 1

Definition

1. IMPACT:initial reaction last few minutes to few days. Shock, denial, disbelief,confusion.

Fear, hysteria,anger, rage, shame, guilt, helplessness

SOME VICTIMS REACT LESS VISABLY OR DELAYED MANNER; MAY LOOK CALM, ORGANIZED, RATIONAL AND TAKE ACTIONS NECESSARY.REACTIONS MAY BE NUMBING, DETATCHMENT, AMNESIA,DEPERSNONALIZATION

MAY INDICATIE ACUTE STRESS DISORDER

Term
RECOVERY FROM VIOLENCE AND TRAUMA STAGE 2
Definition

2. RECOIL, Victim begins to struggle to adapt. Emotional stress remains.

pg.606

Term
RECOVERY FROM VIOLENCE AND TRAUMA STAGE 3
Definition

3. REORGANIZATION; MIGHT TAKE MONTHS OR YEARS

Victims reconstruct their lives

 

pg. 606

Term
Most therapeutic interventions for the nurse with a victim of crime or violence
Definition

USE ACCEPTANT,NURTURING AND EMPATHETIC COMMINICATION TECHNIQUES

 

ENCOURAGE EXPRESSION OF FEELINGS

 

Term
CARE PLAN  GOAL FOR AN ABUSE VICTIM
Definition
MOST IMPORTANT OUTCOME IS TO HAVE THE INDIVIDUAL, "MOVE FROM VICTIM  TO SURVIVOR STATUS"
Term
MOTIVATING DYNAMIC FOR MOST RAPISTS
Definition
DESIRE TO HUMILIATE OR CONTROL OTHERS
Term
The nurse providing care in the ED for a rape victim should expect what behaviors from the victim
Definition

The nurse should understand that the victim might feel violated and threatened by hospital procedures

 

MAY HAVE DELAYED REACTION TO THE TRAUMA:May appear calm, quiet, emotionless

 

 

Term
INCEST AND SEXUAL ABUSE
Definition

INCEST: INCEST IS COMMITTED BY any RELATIVE

 

SEXUAL ABUSE: IS COMMITTED BY NONRELATIVES

 

PG 613

 

These terms are not interchangeable

Term
MAJOR GOAL OF RECOVERY AS A VICTIM OF TERRORISM, VIOLENCE
Definition

REGAIN FEELINGS OF TRUST, SAFETY AND SECURITY.

 

ERICKSON'S DEVELOPMENTAL CRISIES DETERMINES IF VICTIMS OF VIOLENCE HAS UNMET NEEDS: "TRUST VS. MISTRUST AND AUTONOMY VS. SHAME AND DOUBT

PG.607

Term
WHAT ARE GOALS OF A COMMUNITY BASED RAPE PROGRAM?
Definition

TARGET WOMEN OF AGES 15-24 YEARS

 

DEFINE DATING VIOLENCE,PARTNER ABUSE, RESOURCES, SELF DEFENSE

 

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