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What is the intergenerational transmission process?
- Abuse is passed on from generation to generation through role modeling and social learning
- -suggests that violence is a learned behavior
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What are characteristics of violent families?
- -Social isolation
- -abuse of power and control
- -Alcohol and other drug abuse
- -intergenerational transmission process
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What population is specifically at risk for abuse?
Immigrant women
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Why are immigrant women at greater risk?
- -cultural background that accepts abuse
- -language barriers
- -less perceived access to legal/social services
- -fear of being forced to leave US
- -inability to leave husband (economic dependency etc.)
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Psychological abuse (emotional)
- -name calling
- -belittling
- -yelling
- -destroying property
- -screaming
- -making threats
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Why does violence during pregnancy increase?
- -lack of physical & emotional availability of partner
- -jealousy
- -possessiveness
- -insecurity
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Traits of abusive husbands
- -insecurity
- -feeling of "ownership" over wife
- -emotional immaturity
- -jealousy
- -possessive
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Traits of abused wives
- -Dependency!
- -feeling unable to function independently
- -low self-esteem
- -feeling they are to blame
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Cycle of abuse
Violence --> Honeymoon phase --> Tension builds --> Violence
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SAFE questions
- S- stress/safety
- A- afraid/abuse
- F- friends/family
- E- emergency plan
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Warning signs of abused/neglected children
- -serious injuries w/no report of trauma
- -delayed treatment seeking
- -inconsistencies or changes in child's medical history
- -unusual injuries for where the child is developmentally at
- -UTIs, bruised red or swollen genital, tears or bruising of rectum/vagina
- -sexual maturity that is beyond the child's current developmental level
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Nursing intervention for child abuse
- *Removing the child from the home/removing them from danger is the first step
- -need a psychiatric evaluation
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how does the young child best communicate how they have been abused
Play therapy- can draw or act out situations with puppets or dolls rather than having to talk about what happened
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Why do elders neglect to seek help when being abused?
- -fear of being put in a nursing home
- -fear of loosing their "support" system
- -attempting to protect their family members
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Clinical picture of an elderly person being abused
- -broken glasses, dentures
- -missing hearing aids
- -denied food, fluids, meds
- -bruises or fractures
- -confusion & disorientation
- -unusual banking activity, unpaid bills
- -smell of urine, lice, rashes, dirt
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Where does Rape most often occur?
In a woman's neighborhood- often inside or nearby the home
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4 categories that male rapists tend to fall into
- 1. Exploitive predators- impulsively using victim
- 2. Inadequate men- think no one would voluntarily have sex with them
- 3. sexual sadists- aroused by causing pain
- 4. Displacement for anger
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T or F- rape is generally premeditated
True
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Characteristics of men that are likely to commit dating violence
- -expressing negativity about women
- -acting tough
- -engaging in heavy drinking
- -exhibiting jealousy
- -making belittling comments
- -expressing anger
- -using intimidation
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Nurses role in helping a rape victim
- -allow her to take her time with the examination and interview process
- -try to help the victim regain their sense of control
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Feelings often experienced by rape victims
- -fear
- -guilt
- -embarrassment
- -shock and disbelief
- -helplessness
- -humiliation
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