← Promotions-Exam 4 Test
5 Written Questions
5 Matching Questions
- Domestic Abuse: Honeymoon: Stage III (MAN)
- Domestic Abuse Nursing Interventions
- To evaluate Stress
- Domestic Abuse: Phase II"Acute Battering" (MAN)
- Domestic Abuse: Phase 1"Tension Building" (MAN)
- a Observe the patient and family.
Give amply amount of time to deal with stress effectively and completely.
Refer to ongoing resources to avoid delay or interruptions in care.
- b Convey that survivors are not alone; others are willing to help, Convey that survivor has dignity and worth; does not deserve abuse
Acknowledge fears, ambivalence about abuser and leaving, Accept that survivor cannot be pushed to leave abuser, Monitor safety
Provide information about abuse, cycle of violence, abuser accountability
Build self-esteem, confidence, independence, sense of hope
If danger of injury present—advise use of shelter, safe house
If injured—encourage to get medical help
Teach about inevitability of cycle of violence, that no one deserves battering
Provide emergency phone numbers
Encourage and provide information to develop emergency plan
Inform of legal protections
- c is loving, charming, begging for forgiveness, making promises.
Truly believes it will never happen again.
- d Trigger event is either internal or external
Battering occurs privately
Threaten more harm if partner tries to get help
Tries to justify behavior
Minimizes the severity
Stress is relieved
- e Excessively high expectation of the partner.
Blames partner for anything that goes wrong.
Does not try to control behaviors
Aware of inappropriate behaviors but does not admit to it.
Verbal and physical abuse increase.
Afraid partner will leave
Frantic and more controlling
5 Multiple Choice Questions
- Unexplained bruises, welts, fractures
Unexplained burns, especially on the soles, palms, back, or buttocks
- Compensation, Conversion, Denial, Displacement
Identification, Dissociation, Regression
- Intensity, Scope, Duration, Amount,Predictability
Characteristics of the person that influence the response, Level of control, feeling competent, cognitive appraisal and number of supports available.
- Recognize clues to abuse in assessment
Provide privacy for interview
Convey that others are willing to help
Reiterate survivor did not cause or deserve abuse
Convey survivor has worth, dignity
Acknowledge fear, ambivalence
Do not rush or coerce; support trials of counseling
- Might call for help
Initiate battering to get it over with (long-term).
Initial reaction is shock, disbelief, denial
Fear of more abuse, may not press charges
Humiliated, sleepless, depressed, anxious.
Does not seek help for injuries.
5 True/False Questions
Planning: goals and outcomes → Prioritize the highest problem that is causing stress, Utilize collaborative care, Multidisciplinary approach, View patient holistically, Inform of potential resources, Group counseling sessions
Consultations, Individual therapy
Domestic Abuse: Phase 1"Tension Building" (WOMAN) → Nurturing compliant, tries to please partner.
Denies seriousness of problem.
Feels can control partners behavior
Tries to prevent partners anger
Blames external factors
Takes minor abuse
Gets scared and tries to hide
Might call for help as the tension becomes unbearable.
Depression in Children (Manifestations) → Accept patient; focus on strengths
Reinforce efforts to make decisions
For severe indecision, nurse makes decision
Never reinforce hallucinations/delusions
Spend time with withdrawn patients
Provide activities designed for success
Medications as prescribed by provider.
Threats of Suicide → A suicide gesture or threat should never be ignored
The child should be encouraged to discuss the thought
The health care provider should try to determine whether the child has a plan and the lethality of the plan
Help from a qualified health care professional should be obtained
Antidepressant Therapy Pointers → Lag time before symptoms improve
Monitor for increased suicidal tendencies
Monitor for cheeking and hoarding
Monitor vital signs
Observe for signs of early toxicity
Monitor sexual side effects of SSRIs
Be aware of drug-drug and drug-food interactions