Mental Health and Abuse Assessment Practice

Flashcards covering人格障碍 (Histrionic, Narcissistic, Dependent, Avoidant) and indicators/nursing protocols for Child and Spousal Abuse.

How is a patient with Histrionic personality disorder likely to behave to get attention?

They may act provocative or sexual and do whatever they need to for attention.

What are the primary characteristics of a Narcissistic personality disorder?

Thinking they are always right and having a grandiose feeling about themselves.

How is Dependent personality disorder described in the lecture notes?

As a "Stage $5$ clinger" who goes from relationship to relationship and cannot function without another person.

What behaviors characterize Avoidant personality disorder?

Being shy and timid, avoiding eye contact, speaking softly, walking behind others, giving one-word answers, and keeping their head down.

In cases of Child Abuse, where should a nurse look for linear burns?

Elbow, butt, knees, and feet.

What injury pattern is highly indicative of potential Child Abuse?

Multiple injuries or fractures at various stages of healing.

Besides physical injuries, what are other social or behavioral signs of Child Abuse?

Aggressive or submissive behavior, avoiding physical contact, inappropriate clothing, and skipping school.

What is another name for Shaken Baby Syndrome (SBS)?

Abusive Head Trauma (AHT).

What are the signs and symptoms of Abusive Head Trauma (AHT)?

Increased intracranial pressure, LethaRgy / gRunting, increased head circumference, bulging fontanelles, sunset eyes, retinal hemorrhages, nausea, vomiting, and neck stiffness.

Why is a story about a $2$-month-old rolling off a changing table suspicious for abuse?

Because babies do not usually roll at $2$ months old.

What does the mnemonic "SHY" represent in the context of identifying likely abusers?

Substance abusers, History of abuse, and Young parents.

Are nurses mandated reporters of suspected child abuse?

YES, and every facility has a protocol or process for this.

What interaction pattern between a patient and a companion suggests Spousal Abuse?

A timid patient who does not speak or provide eye contact while the abuser does all the talking.

What is the first step a nurse should take when suspecting Spousal Abuse?

First separate the abuser from the client, then ask the client about their safety.

What three specific questions should be asked to a potential victim of spousal abuse?

Do you feel safe? Do you have somewhere to go? Do you have an escape plan?

Are nurses mandated reporters of suspected spousal abuse?

NO, unless they are a caregiver; ultimately it is the client's choice, but the nurse should offer resources.