EXAM 5 Interpersonal Violence

Interpersonal violence

The maltreatment of one person by another

Why does interpersonal violence occur?

Uses power or control over another person

Battering definition

Pattern of coercive control founded on and supported by physical or sexual violence or threat of violence

What are some profile of the victim

Low self esteem

Inadequate support

Accepts blame for abusers actions and protects them

Some profile of abuser

Dual personality

Severe stress reactions

Blames children

Possible substance use disorder

Controls finances

Poor coping skills

Violent temper outbursts

Cycle of battering

Phase 1 tension building

Phase 2 acute battering incident

Phase 3 calm and loving honeymoon phase

Cycle of abuse summaries

Green stage : Victim gives a chance and abuser seems sympathetic and loving

Yellow Stage : Victim starts to be more cautious walking on eggshells and abuser gets angry a lot nitpicks everything criticizes etc.

Red stage : More severe incidents : authorities get involved abuser becomes more physical etc.

Why is leaving the most dangerous ?

Abuser becomes more angry and can do worse things

When assessing for interpersonal violence what’s important for the ruses to keep in mind when asking questions?

They must be clear and direct !

What can we give to victims?

Giving them undisclosed locations of safe houses and shelters

Main nursing intervention for the victims of abuse or neglect?

Provide shelter

Promote reassurance

Acquaintance or date rape

Victim knows rapist

Marital rape

Rape done by spouse or partner

Statutory rape

Unlawful intercourse by person of over age of consent and underaged person of consent

What is rape trauma syndrome ?

How someone reacts to the incident

Expressed response pattern

There’s expression or reaction to it

Controlled response pattern

Very subtle as if it never occurred — continues to seem normal

Compound rape reaction

Evidence of psychiatric issues like SI or HI

Silent rape reaction

Become silent and will not talk

What’s the most common response pattern to rape?

Controlled response pattern

What are some things to keep in mind when a pt victim to SA comes in?

Give immediate privacy

They should NOT be alone

Ensure to feels safe and inform that it’s not their fault

Involve SANE whenever possible

To keep in mind when asking of incident

Never ask WHY questions

Assess for location and time and date

Victim know assailant

Use of anything

Condoms

Semen or vaginal secretions

Did victim bathe

Assess SI

NEVER ASK FOR DETAIL OF ASSUALT

How long do you have to do rape kit exam after assault ?

120 hours

Preserving DNA evidence RAPE KIT

Obtain consent

Examine body for trauma

Look for bruising burns rope burns bite marks

Check under nail for skin and hair

Pregnancy tests STD TEST DandA screening prophylactic treatment

Ensure client has community resources

Method of collecting evidence

When is it mandatory to report?

If weapons are involved or if victims is 17 years younger

When is it not mandated to report?

If victim is 18 and they can make their choice or decisions regarding incident

Can money be given through victims compensation fund ?

yes true

Broad opening therapeutic question

Questions that give victims a choice

Closed question therapeutic communication

More direct straight to one answer question