NSG 322 Topic 9: Abuse, Neglect, and Violence Flashcards

Practice questions covering anger management, types of abuse, intimate partner violence (IPV) cycles, trauma-informed care, and date-rape drugs based on Halter (2022).

According to the lecture notes, how does violence differ from anger and aggression?

Violence requires a deliberate decision to injure, intimidate, or damage, involving the intentional use of force.

What are the characteristics of a milieu that can predict violence?

Loud environment, overcrowding, temperature that is too warm, staff inexperience, provocative or controlling staff, poor limit setting, and staff inconsistency.

In the context of de-escalation, what is the recommended body positioning for a nurse?

Sitting at a 45-degree angle (if the patient agrees) to reduce confrontation, avoiding standing over the patient, and avoiding prolonged eye contact.

What are the three types of seclusion and restraints used as a last resort?

Physical (held by staff), Mechanical (devices like wrist/ankle restraints or vests), and Chemical (emergency medications like IM haloperidol, lorazepam, olanzapine, or ketamine).

What are the 3 guiding principles for every situation involving escalation or violence?

1. Meet the needs of the person (in the moment and long term); 2. Reflect respect and dignity toward the person; 3. Maintain the safety of everyone involved.

How does the study guide define economic abuse?

Controlling a person's access to economic resources and creating financial dependence.

What is the difference between acts of commission and acts of omission in child abuse?

Acts of commission are deliberate, intentional acts such as physical or sexual abuse, while acts of omission (neglect) involve a child's basic needs going unmet.

What are the three phases of the Cycle of Violence in intimate partner violence (IPV)?

1. Tension-building; 2. Serious battering; 3. Honeymoon phase.

Which demographic is at the highest risk for older adult abuse?

Adults over age $75$ due to increased dependency, frailty, and cognitive impairment.

What is the nursing responsibility regarding mandatory reporting of suspected abuse?

Nurses must report based on reasonable suspicion alone; proof of abuse is not required to initiate a report.

List the six principles of Trauma-Informed Care (TIC).

1. Safety; 2. Trustworthiness & transparency; 3. Choice; 4. Collaboration; 5. Empowerment; 6. Cultural humility.

What is the definition of consent in the context of sexual activity?

Consent must be freely given, informed, and revocable at any time.

What is the specific role of a SANE (Sexual Assault Nurse Examiner) nurse?

An RN with specialized forensic training who conducts exams, collects/preserves evidence, maintains the chain of custody, and provides trauma-informed documentation.

Which substance is identified as the single most frequently used date-rape drug?

Alcohol.

What are the key points regarding Flunitrazepam (Rohypnol) as a date-rape drug?

It is a potent benzodiazepine about $10\times$ stronger than diazepam, known as the 'forget drug' or 'roofies.'

Why is Gamma-hydroxybutyric acid (GHB) particularly dangerous when combined with alcohol?

It affects the CNS and risks potentially fatal respiratory depression; it also clears the body within hours, making it difficult to detect.

How is Ketamine described in the context of sexual assault substances?

An anesthetic used in medicine and veterinary practice that behaves as a hallucinogenic drug related to PCP.