Family and Community Violence

Mental Health Exam 2

What are the 3 phases in the cycle of violence?

tension-building phase, acute battering phase, honeymoon phase, periods of escalation and de-escalation

What is the first phase in the cycle of violence?

tension-building phase; verbal abuse, minor violence

What is the second phase in the cycle of violence?

acute battering phase; most violent and shortest phase; abuse takes place

What is the third phase in the cycle of violence?

honeymoon phase; perpetrator becomes loving, promises to change, and is sorry

What are periods of escalation and de-escalation in the cycle of violence?

cycle of abuse continues w/shorter and shorter periods of time b/t the 2 w/o intervention.

At what ages is a referral to protective services made if family or community violence is suspected?

under 18 years or over 65

What is the first phase of rape-trauma syndrome?

initial emotional reaction; expressed or controlled

What is an expressed reaction seen in rape-trauma syndrome?

emotional outbursts including laughing, crying, hysteria, anger, and incoherence

What is a controlled reaction seen in rape-trauma syndrome?

can appear calm and have blunted affect or confused and find it difficult to make decisions.

What is the second phase of rape-trauma syndrome?

variety of emotional reactions like embarrassment, desire for revenge, guilt, anger, fear, anxiety, and denial.

What is the third phase of rape-trauma syndrome?

somatic reaction w/muscle tension, HA, sleep disturbances, GI, GU

What is a compound rape reaction?

some survivors can experience additional disorders as a result of the sexual assault;

What is a silent rape reaction?

survivor doesn’t report or tell anyone; changes in behavior may include sudden provocative or risky behavior, phobic reactions, increased anxiety.

What is the National standard protocol for a sexual assault assessment?

client info, examination, documentation of biological and physical findings, collection of evidence, and follow-up as needed to document additional evidence.

What mental health concern should be assessed in a client who has experienced sexual assault?

suicidal ideation

What medicinal intervention should be administered after a sexual assault?

prophylactic tx for STIs

What should be evaluated regarding pregnancy risk in a sexual assault survivor?

risk of pregnancy should be assessed and emergency contraceptive provided

How can a healthcare provider assist a client during the acute phase of rape-trauma syndrome?

by providing emotional support and helping client navigate medical and psych care

What approach should be encouraged to help a client process their experience during a sexual assault assessment?

encourage the client to verbalize their story and emotions

What communication techniques should be used when listening to a sexual assault survivor?

open ended questions, active listening, and reflection