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HA Chapter 7 Domestic and Family Violence Assessments
Terms in this set (37)
child emotional abuse
any pattern of behaior that harms a child emotional development or sense of self worth. includes frequent belittling, rejection, threats, and withholding love and support
failure to provide for childs basic needs (physical, educational, medical, and emotional)
child physical abuse
physical injury from punching, beating, kciking, biting, burning, shaking, other. even if not intentional
child sexual abuse
includes fondling, incest, penetration, rape, sodomy, indecent exposure and commercial exploitation through prositution or the production of pornographic materials
willful infliction of force that results in bodily harm, pain, and/or impairment on a person age 65 years or older. examples inlcude pushing, slapping, hitting, shaking, burning, rough handling
actual or potential physical harm to a person age 65 years or older bc of failure to privde for persons wellbeing
intimate partner violence
physical and/or sexual violence or threat of, psychological or emotional abuse
mandatory reporting of abuse
specified group of people required by law to report abuse to specific government agency
infliction of emotional and/or mental anquish by humiliation, coercion, threats and or lack of social stimulation
routine universal screening for intimate partner violence
asking all adult patients if they have experiences IPV
most common physical health problems that result from IPV
neurologic, gastrointestinal, and gynecologic symptoms and chronic pain
most common mental health problems that result from IPV
depression, suicidality, PTSD, substance abuse
differentiate abuse from neglect
abuse is intentional, neglect is failure to provide for basic needs
identify commonly used used screening questions for IPV
when you and your partner argue, are you ever afaid of them?
when you and your partner argue verbally, do you think they try to emotionally hurt/abuse you?
does your partner try to control you?
has anyone ever physically struck you?
identify commonly used screening qs for older adult abuse
Have you relied on ppl for ADLs?
Has anyone ever prevented you from getting food or clothes or etc?
Have you ever been upset bc someone talked to you in a way that made you feel shamed or threatened?
Has anyone made you afraid or hurt you physically?
differentiate routine universal screening from indicator based screening
routine for everyone, indicator if you suspect
identify importnat elements of assessment of an abused person
complete head to toe visual exam and documentaion with forensic words
list 2 potential sources of lethality in IPV situations
discuss bruising in children and how it relates to their developmental level
no cruising or walking (less than 9months old) then no bruising is normal
atypical places is bad -buttocks, hands, feet, abdomen
torso ears neck on infants is sign of abuse
identify some important elements of child medical history when assessing for suspected child maltreatment
Has the child had this injury before? Has the child previously been hospitalized? Is there stress at home or substance abuse? Does the child take medication that may cause bruising or frail bones?
discuss some of the long-term consequences of child maltreatment
death, lond term diabilty such as mental retardation, blindness, deafness, or physical disabilty.
identify risk factors that may contribute to child maltreatment
disabilties or chronic illness, substance abuse in family, other family violence, poverty, young/single/nonbiological parents(???), community violence
which senario is an example of intimate partner violence?
d all of the above: stalking, marital rape, hitting a date
routine universal screening for domestic violence includes?
a asking women each time they come into the health care system if they have been abused
patients are at high risk for which mental health problems associated with intimate partner violence?
which gynecological problem in NOT usually associated with intimate partner violence?
b ovarian cysts
risk factors for intimate partner homicide include?
a abuse during pregnancy
elder abuse and neglect assessments include:
e willful infliction of force, witholding perscription meds, not replacing broken eyeglasses, threating to place someone in a nursing home
when assessing an injury on a child, which should be considered?
d childs developmental level, child medical and medications history, history of how injury occured
what is a known risk factor for hcild maltreatment?
d substance abuse, IPV, physical diabilty and/or mental retardation in the child
bruising on a nonwalking or noncruising child:
b needs to be further evaluated for an abusive or medical explanation
which is a foresnsic term that is realted to purpura but is not related to blunt force trauma?
which should be routnely inlcuded in evaluating a case of elder abuse?
b baseline lab tests
during an exam, u notice a patterned injury on a patients back. which is most likely?
blunt force trauma
welt from leather belt
d a welt from a leather belt
during an interview, woman answered yes to 3 of the abuse assessment screen questions. how should you proceed?
b proceed by asking more questions about the items she answered yes
which clinical situation would require the examiner to report to the proper authorities?
d suspicion of elder abuse and/or neglect
which would you inclue onthe chart of athe patient who has survived abuse?
a photographic documentaion of injuries
Aggressive, angry, sometimes destructive behavior resulting from externalizing and acting out ones environmental stress and adversity
What does maternal, infant, and child health encompass?
What are the signs of sexual abuse in children?
An assistive technology device such as a cushion, a railing, or a pencil grip would be considered what kind of device
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