5 Written Questions
5 Matching Questions
- Factors influencing the response to stress
- Nurse-Patient Relationship: Partner Abuse
- Domestic Abuse: Phase 1"Tension Building" (MAN)
- The risk for suicide should be considered if the following are present
- a 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.
- b 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
- c Neurochemical, physical,
- d 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
- e Previous suicide attempts
Past psychosocial hospitalization; overt signs of mental illness
A family member or friend who has committed suicide; exposure to violence in the home or social environment
Death of a parent before the child reached 13 years of age
Recent losses; death of a relative, a family divorce, a breakup, significant change or life event that disrupts emotional status quo
Preoccupation with death; statements about suicide or self harm
Suicidal clues: cryptic verbal messages, giving away personal items, changes in expected patterns of behaviors
5 Multiple Choice Questions
- Women 35-44yo, Caucasian/Hispanic, low income, <HS diploma, Urban
- Stressor, Anxiety, Coping
- Appetite disturbance/weight change
Fatigue or loss of energy
Recurrent thoughts of death/suicide
- 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
- 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
Major depressive disorder → 1 or more episodes lasting for 2 weeks or more.
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.
Least likely to be depressed → Women 35-44yo, Caucasian/Hispanic, low income, <HS diploma, Urban
Implementation-Stress (2) → decrease stress-producing situation.
Reduce frequency of stress inducing situations.
Avoid excessive change.
Manage personal time effectively.
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