Examl 4:l NSGl 322/l NSG322l (Latestl 2025/l
2026l Update)l Behaviorall Healthl Nursingl Completel Guide|l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l GCU
Q:l abusel andl crisisl situation
Answer:
TYPESl OFl ABUSE
1.l physical:l physicall painl orl harml causedl byl actions
2.l economic:l beingl inl controll ofl anothersl financesl orl notl lettingl theml gol tol schooll orl work 3.l emotional:l puttingl theml down,l isolatingl them,l callingl names,l criticize,l humiliate
4.l sexual:l exposurel orl sexuall contactl withoutl consent
5.l neglect:l failingl tol providel forl theirl needs
CRISISl SITUATION al situationl thatl putsl stressl onl al familyl withl al violentl member
-perpetrator:l thel personl whol isl violentl tol al familyl member
>ppll wl goodl copingl arel lessl atl riskl butl sometimesl thingsl likel sociall isolationl canl causel thel inabilityl tol cope >oftenl personl hasl poorl sociall skills,l theyl considerl theirl relationshipl withl theirl partnerl thel closestl onl theyl everl had,l andl considerl theirl needsl morel importantl thanl othersl
-vulnerablel person:l familyl memberl beingl abused
>survivor:l recognizesl thel recoveryl andl healingl processl thatl followsl victimizationl >victim
Q:l childl abuse
Answer:
ACTl OFl COMMISSION -intentionall act -emotional,l physical,l sexuall abuse ACTl OFl OMMISSION -whenl al child'sl physical,l educational,l emotionall needsl arel notl metl orl theyl arel notl protectedl froml harm 1 / 4
-exposurel tol violence,l medicall orl dentall neglect,l inadequatel supervision,l educationall neglect,l emotionall neglectl COl OCCURRING onel typel ofl abusel isl al predicatorl forl anotherl typel ofl abuse
-lifetimel effectsl ofl abuse:
>depression >anxiety >SI >MDDl andl PTSD -itl canl affectl developmentl bcl thel energyl neededl forl growthl isl putl intol coping RISKl FACTORS
-childl isl seenl asl different:l congenitall abnormality,l chronicl illness
-childl remindsl parentl ofl someonel theyl dislikel (exl spouse) -childl isl resultl ofl unwantedl pregnancy -childl isl seenl asl fragile -childl doesntl livel upl tol parentsl fantasies -childsl emotionall bondingl wasl interruptedl byl prolongedl illnessl orl prematurityl CHARACTERISTICSl OFl ABUSIVEl PARENTS -lowl selfl esteem,l poorl copingl skills,l sociall isolation,l lowl frustrationl tolerancel -arel experiencingl al crisis -blamel theirl ownl troublesl onl theirl child -hasl unrealisticl expectationsl forl child:l expectsl theml tol fulfilll lovel orl supportl needs -historyl ofl neglectl andl traumal asl children
-authoritarianl parenting:l harshl punishments
-violentl temperl andl poorl impulsel control -multiplel mentall illnessesl orl substancel usel
**pregnancyl isl al triggerl ofl violence **jealousyl causesl al lotl ofl violence,l partnersl mayl notl letl spousel leavel housel orl havel relationships **ppll usel alcl asl anl excusel forl violence
Q:l intimatel partnerl violence
Answer:
rape,l stalking,l physicall abuse,l psychologicall aggressionl froml al currentl ofl formerl partner
EPIDEMIOLOGY
-25%l ofl women,l andl 10%l menl experiencel thisl inl theirl lifetime
-teenl datingl violence:l 1l inl 11l women,l 1l inl 15l men
-stalking:l 10%l women,l 2%l men
-halfl orl marriedl couplesl havel somel typel ofl abusel atl somel pt -heterol andl homosexuall couplesl havel samel rates 2 / 4
-1l inl 10l homicidesl isl spousall -femalesl betweenl 18-34l experiencel thel mostl -multiraciall womenl mostl likelyl tol bel raped
Q:l cyclel ofl violence
Answer:
understandingl thel cyclel canl helpl youl bel nonl judgementall especiallyl isl thel victiml refusesl tol leavel theirl abuser
1.l tensionl buildingl stage:
-minorl incidents->thel victiml ignoresl theml orl acceptsl theml outl ofl fear->tensionl builds->l bothl partiesl mayl dol thingsl tol reducel thel tension
>victim:l blamel self
>abuser:l turnl tol drugsl andl alcohol
2.l acutel batteringl stage:
-tensionl peaks,l triggeredl byl anl externall eventl orl thel emotionall statel ofl thel abuserl -oftenl thel victiml provokesl thel abuserl tol reducel thel tensionl andl enterl thel honeymoonl phase
3.l honeymoonl phase:
-thel abuserl feelsl remorsel andl givesl presentsl tol thel victim,l theyl showl lovel andl kindness -victiml feelsl lovel andl hopesl forl change -anyl pastl thoughtsl aboutl leavingl arel gone
*thisl cyclel willl continuel tol repeatl itself.l eachl timel thel periodsl ofl calml getl shorter,l andl thel angerl getsl morel intense.l Everyl timel thel victimsl self-esteeml diminishesl morel andl morel andl theyl feell hopelessl andl blamel themselves
Q:l elderl abuse
Answer:
causingl harml orl puttingl vulnerablel personl atl riskl ofl harm
-mistreatment:l failurel tol meetl basicl needsl orl protectl theml froml harm
-physicall orl sexuall abuse:l canl bel causedl byl familyl member,l custodian,l orl carel facilityl personnel -financiall abuse:l cashl orl creditl cardsl stolen.l convincedl tol transferl accountsl orl property.l losel theirl vehicles,l personall belongings,l foodl stamps,l meds
EPIDEMIOLOGY
-1/10l eldersl experiencel abuse -mcl perpetratorsl arel faml members RISKl FACTORS 3 / 4
-mentall orl physicall illness
-cognitivel disorder:l alzheimers
-dependentl onl another -elderl hasl abusedl spousel orl childl earlierl inl life -inl al familyl whol copesl wl violence -female,l white,l olderl thanl 75,l livel wl relative
Q:l assessment:l violence
Answer:
1.l general:l assessmentl forl abusel shouldl bel donel tol alll patientsl inl private.l assessl forl substancel use,l sexuall abuse,l familyl violencel INTERVIEWl PROCESS
1.l Dos:
-sitl closel tol pt -establishl rapport -avoidl sayingl abusel orl violence,l insteadl askl aboutl howl theyl disciplinel orl methodsl ofl relievingl disagreement -talkl tol theml inl al wayl theyl canl understandl andl havel theml clarifyl wordsl youl dont -bel honest -telll theml ifl youl needl tol contactl childl orl adultl protectivel services -alwaysl assessl forl safety -usel thel terml partnerl whenl askingl abtl al relationship -conductl itl inl privatel
2.l Dol not:
-tryl tol provel abusel byl makingl accusationsl orl demands -dontl allowl theml tol feell likel itsl theirl fault -dontl probel forl answersl theyl arel notl giving -dontl displayl shock,l anger,l orl disapprovall ofl thel situation -dontl placel blamel orl makel judgements -dontl conductl interviewl wl al group INTERVIEWl INCLUDES -suicidall orl homicidall potential >havel weapon,l extremel jealousy,l substancel use,l historyl ofl violence -Fxl ofl coping -anxietyl levell andl coping >unablel tol relaxl orl sleep -violencel indications -substancel use -supportl systeml >thosel beingl abusedl oftenl relyl onl abuserl SELFl ASSESSMENT
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