Anger/Aggression/Violence
Emotional response to frustration of desires, a threat to one’s needs (emotional or physical), or a challenge.
Anger
Primary prevention consists of measures taken to prevent the occurrence of abuse; give three examples of primary prevention.
Identifying individuals and families at high risk, providing health teaching, and coordinating supportive services
Reducing stress
Reducing the influence of risk factors
Increasing social support
Increasing coping skills
Increasing self-esteem
This term refers to the trauma of the examination itself, because the patient may experience it as another violation of her body.
Revictimization
Always an objectionable act that involves intentional use of force that results in, or has the potential to result in, injury to another person.
Violence
In spousal abuse, what are three risk factors?
Men who abuse may believe in male dominance and need to be in charge.
Physically acting out makes them feel more in control, more masculine, and more powerful.
Influence of the media
Low self-esteem, feelings of worthlessness, depression.
Poor coping skills
History of drug or alcohol misuse
Low tolerance for frustration
Poor impulse control
Long-term goals for an individual who has been sexually assaulted or raped include:
Longer-term goals include:
physical healing
emotional healing of intrusive memories and nightmares
reduction in fear and anxiety
improved social interactions.
Once a patient is placed in seclusion or restrained, what is the next thing the nurse must do?
The nurse must get an order from the appropriate healthcare provider.
The nurse is caring for a client with bruising and abrasions. What is the correct focus of the nurse to meet the client's needs?
A. document what is seen
A. document what is seen
B. establish trust
C. ask about the bruises
D. report the abuse
C. ask about the bruises
D. report the abuse
B. establish trust
True False
The majority (69%) of rape victims are raped by someone they know.
False
The majority (69%) of rape victims are raped by someone they know.
• Maintain the patient’s self-esteem and dignity
• Maintain calmness (your own and the patient’s)
• Assess the patient and the situation
• Identify stressors and stress indicators
• Respond as early as possible
• Use a calm clear tone of voice
• Remain honest
• Avoid invading personal space; in times of high anxiety, personal space increases
• Avoid arguing
• Give several clear options
• Use genuineness and empathy
• Be assertive (not aggressive)
• Do not take chances; maintain personal safety
What are de-escalation techniques?
What are some nursing interventions when there is suspicion of an elderly client living with family?
Report suspected abuse to appropriate person/agency
Encourage respite care, home health services, adult day care
identify at least two supportive services to deal with emergency situations
will identify difficult issues that increase their stress levels
seek out community resources to help with anger management, need for homemaker support, and other needs
(Case Study and Nursing Care Plan: Family Violence; at end of chapter)
What is SANE?
Sexual Assault Nurse Examiner
SANE is a registered nurse who has specialized training in caring for sexual assault patients, has demonstrated competency in conducting medical and legal evaluations, and has the ability to be an expert witness in court
These are appropriate as-needed medications to alleviate symptoms of anger/aggression when used in conjunction with psychosocial interventions and deescalation techniques.
Antipsychotics and/or antianxieties
What is the most common form of family violence?
neglect
True False
The patient of sexual assault/rape has the right to decline having a medical exam and/or pursuing legal action.
The patient has the right to decline parts of the legal or medical examination. Informed consent must be provided and consent forms signed before taking photographs, doing a physical examination, and proceeding with any other procedures that might be needed to evidence and provide treatment.