Unit 4B: Assessment for Violence

⚠️ DISCRETION: SENSITIVE CONTENT within this topic regarding violence and abuse. These flashcards are solely for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.

Domestic Violence

Defined by the US DOJ Office on Violence against Women as…

Pattern of abusive behavior in any relationship that is used by one partner to gain or maintain control over another intimate partner

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

US DOJ Office on Violence against Women

Who defines domestic violence as a pattern of abusive behavior in any relationship that is used by one partner to gain or maintain control over another intimate partner?

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

Family Violence

Defined by the Australian Law Reform Commission (2010) as…

Violent or threatening behavior, or any other form of behavior, that coerces or controls a family member or causes that family member to be fearful

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

Australian Law Reform Commission

Who defined family violence as violent or threatening behavior, or any other form of behavior, that coerces or controls a family member or causes that family member to be fearful?

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

1. Physical

2. Emotional

3. Sexual

3 Types of Domestic or Family Violence

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

Physical

One of the types of domestic or family violence

Slapping, hitting, kicking, punching, burning

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

Emotional

One of the types of domestic or family violence

Threats of physical harm, financial harm, harm to child or pet, or suicide

Harassment, insults, and other verbal abuse, isolation, intimidation, mind games, throwing objects

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

Sexual

One of the types of domestic or family violence

Incest or unconsented sex

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

1 out of 3

What is the statistic for women beaten, coerced into sex, or abused at least once in her lifetime?

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

1 out of 10

What is the statistic for children that suffer from child maltreatment?

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

1 out of 16

What is the statistic for children sufferers from sexual abuse?

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

1 out of 10

What is the statistic for children witnesses of family violence?

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

Violence

The use of physical force to harm someone, damage property, etc

Tends to have a negative connotation in the context of murder, torture, or hate but more positive if associated with self-defense or acts of war

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

Aggression

Forceful action or procedure (unprovoked attack) especially when intended to dominate or master

Positive connotation is drive for success “aggressive man”, but negative connotation when “aggressive woman” (what in the world)

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

1. Psychopathology Theory

2. Social Learning Theory

3. Biologic Theory

4. Family Systems Theory

5. Feminist Theory

5 Theories related to Domestic Violence for Why Men Battered Women

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

Psychopathology Theory

One of the 5 Theories related to Domestic Violence for Why Men Battered Women

Batterers suffer personality disorders

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

Social Learning THeory

One of the 5 Theories related to Domestic Violence for Why Men Battered Women

Violence is learned behavior from childhood

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

Biologic Theory

One of the 5 Theories related to Domestic Violence for Why Men Battered Women

Physiological changes from childhood trauma, head injuries, or through heredity cause violent behavior

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

Family Systems Theory

One of the 5 Theories related to Domestic Violence for Why Men Battered Women

Violence grows through family system function, but some criticize this theory as blaming the victim

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

Feminist Theory

One of the 5 Theories related to Domestic Violence for Why Men Battered Women

Male/Female inequity in patriarchal society leads to violence

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

Walker’s Cycle of Violence/Tension Building/Explosion Model

This model is developed to explain the complexity and coexistence of abuse and loving behaviors.

Helps those who have never experienced domestic violence understand that breaking the cycle of violence is much more complicated than just “getting out” or leaving

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

1. Tensions-Building Phase

2. Acute or Crisis Phase

3. Calm or Honeymoon Phase

What are the 3 Phases in Walker’s Cycle of Violence?

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

Tensions-Building Phase

One of the phases in Walker’s Cycle of Violence

Abuser makes unrealistic demands, demands not met leads to criticisms, ridicule escalate into shoving or slapping

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

Acute or Crisis Phase

One of the phases in Walker’s Cycle of Violence

Violence lasting to 24 hours

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

Calm or Honeymoon Phase

One of the phases in Walker’s Cycle of Violence

Period of reconciliation, abuser becomes a “lover” that promises to never abuse the victim again

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

True

True or False: Without intervention, the frequency and severity of abuse tends to increase over time.

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

1. Abuse

2. Guilt

3. Rationalization

4. Normal Behavior

5. Fantasy

6. Planning

7. Set-Up

7 Stages of the Cycle of Domestic Violence Model

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

Abuse

One of the 7 Stages of the cycle of domestic violence model

Can be emotional, physical, sexual, psychological, economic, and social

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

Guilt

One of the 7 Stages of the cycle of domestic violence model

A non-abusive person experiences this very differently than an abusive person; they feel __ about how they have impacted the life of the person they harmed

An abuser experience self-directed ___; they don’t feel this for hurting their victim. They may apologize for their behavior, but their apology is designed so that they will not face consequence or be held accountable. The goal of this stage is for the abuser to reassure the abuser they will not be caught or face consequences.

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

Rationalization

One of the 7 Stages of the cycle of domestic violence model

The abuser makes excuses and blames the victim for their behavior. Common excuses usually revolve around the abuser being intoxicated or abused as a child.

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

Normal Behavior

One of the 7 Stages of the cycle of domestic violence model

During this stage, the abuser may use different tactics to achieve their goal of regaining power over the victim. The abuser may act as though nothing happened - everything is normal. This can be crazy making for victims, as they do not understand how the abuser can pretend nothing happened.

If the victim has visible injuries, they will have to explain how they got them. This is designed to maintain the normalcy of the relationship.

The goal of this stage is to keep the victim in the relationship and present the relationship as normal.

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

Fantasy

One of the 7 Stages of the cycle of domestic violence model

Abuser is the actor, producer, director, and star

Abusers may spend minutes, hours, or days ___ about what the victim has done “wrong” and how they are going to make the victim “pay” Most often the abuser will __ the victim is having an affair

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

Planning

One of the 7 Stages of the cycle of domestic violence model

Abuser __ violence, how they will make the victim “pay”, based on their fantasies

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

Set-Up

One of the 7 Stages of the cycle of domestic violence model

Abuser put their plan into action

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

1. Physical Abuse

2. Psychological Abuse

3. Economic Abuse

4. Sexual Abuse

4 Types of Family Violence

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

1. Intimate Partner Violence (IPV)

2. Child Abuse

3. Elder Mistreatment (Elder Abuse)

3 Main Categories of Family Violence

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

Intimate Partner Violence (IPV)

One of the main categories for family violence

Physical, sexual, or psychological abuse by a current or former partner or spouse

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

Child Abuse

One of the main categories for family violence

Any recent act of failure to act on the part of the parent or care taker which results to death, serious physical or emotional harm, sexual abuse, or exploitation

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

Elder Mistreatment (Elder Abuse)

One of the main categories for family violence

Includes neglect, physical abuse, sexual abuse, financial abuse, psychological abuse, exploitation, abandonment or prejudicial attitudes that decreases quality of life

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

1. School Violence

2. Hate Crimes

3. Human Trafficking

4. War Crimes

4 Other Types of Violence

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

1. Create a safe and confidential environment

2. Establish trust, rapport, and patiently listen to a client who has experienced violence

3. Use simple direct questions with a relaxed and calm approach

4. Prior to screening discuss any legal, mandatory, reporting requirements or other limits to confidentiality

5. Don’t interrupt when patient talks; let them freely talk about their experience

6. Show empathy and compassion

What are 6 things a nurse must ensure when gathering subjective data from a client experiencing violence?

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

1. Universal Screening for DOMESTIC and IPV

2. Hurt, Insult, Threaten, Scream (HITS) Assessment Tool

3. Abuse Assessment Screen

4. PTSD Screening

5. Assessing Safety Plan

6. Danger Assessment

6 Nursing Tools Used in Assessing Family Violence

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

1. Preparing a client for an examination is different after the client has experienced violence

2. Take note of specific injuries and bruises

3. For children, see to it that they are comfortable

4. Bear in mind that the accompanying parent may be the abuser

5. R_pe - depends on the Institutional Policy (SANE-Sexual Assault Nurse Examiner)

What are 5 things a nurse must remember during the Physical Examination for an abused client?

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

1. Readiness for enhanced family relationships

2. Readiness for enhanced family health management

Health Promotion Diagnoses related to Family Violence

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

1. Risk for ineffective parent/infant/child/family health management related to the presence of family violence

2. Risk for violence (other directed) related to presence of poor coping mechanisms and misuse of alcohol and illegal drugs

Risk Diagnoses related to Family Violence

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

1. Dysfunctional grieving related to the loss of ideal relationship as evidenced by refusal to discuss feelings and prolonged denial

2. Impaired parenting related to choosing to remain living in the presence of an abusive marriage or intimate relationship

Actual Diagnoses related to Family Violence

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

• Culture

• Race

• Ethnicity

• Economy

What must be considered in the evaluation for suspected family violence?

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)

cultural assessment

A nurse needs to conduct ___ ___ before attempting to understand a client’s particular case of family violence, especially for family members of a different ethnic origin from the nurse.

(⚠ Reminder: These flashcards are for educational purposes only. In no way do these flashcards indicate tolerance, agreement, or acceptance of such violence.)