Forms of Abuse
This type of abuse involves the refusal or failure to fulfill a caretaking obligation, often manifesting as dehydration, malnutrition, or poor hygiene.
What is Neglect?
The three phases of the Cycle of Violence in Intimate Partner Violence (IPV).
What are Build-up (Tension-building), Acute Battering, and Honeymoon (Reconciliation)?
A nurse with advanced education in forensic examination of sexual assault survivors is known by this acronym.
What is a SANE (Sexual Assault Nurse Examiner)?
Restraints are only used as a last resort when there is an imminent danger to whom?
What is Self, the client, or others?
This acronym refers to potentially traumatic events (like abuse, neglect, or household dysfunction) experienced before age 18.
What are ACEs (Adverse Childhood Experiences)?
Sudden changes in banking, unexplained withdrawals, or adding unauthorized names to accounts are signs of this type of abuse.
What is Financial Abuse?
In this phase, the perpetrator may become affectionate, apologetic, and promise to change or buy gifts.
What is the Honeymoon (or Reconciliation) Phase?
When interviewing a survivor of abuse, the nurse should never do this without asking for permission first.
What is Touch the survivor?
This standard "chemical restraint" cocktail, often called a "B52," contains these three medications.
What are Diphenhydramine (Benadryl), Haloperidol (Haldol), and Lorazepam (Ativan)?
A defense mechanism often used by perpetrators where anger is redirected from the actual source (e.g., a boss) to a safer target (e.g., a partner).
What is Displacement?
While it leaves no physical evidence, this type of abuse uses threats, insults, and intimidation to exert control.
What is Emotional Abuse?
This phase is characterized by a breakdown in communication and rising tension, and can last for days, weeks, or years.
What is the Build-up Phase?
The first line of intervention when managing an aggressive client, before moving to chemical or physical restraints.
What is Verbal De-escalation?
Ideally, this many staff members are required to safely apply physical restraints to a client.
What is Five (one for each extremity and one for the head)?
This term describes intentional self-harming behaviors like cutting or burning, used as a coping mechanism rather than a suicide attempt.
What is NSSH (Non-Suicidal Self-Harm)?
Regression to younger behaviors (like bedwetting) or a sudden fear of specific people/places are potential signs of this in children.
What is Sexual Abuse?
This phase involves the actual abusive act, is filled with rage, and typically lasts a few hours to 24 hours.
What is the Acute Battering Phase?
When de-escalating a client, you should respect personal space and avoid standing directly in front of the client or blocking this exit route.
What is the Doorway?
If a client is in restraints, a nurse must assess their circulation, vital signs, and skin integrity at least this often.
What is Hourly (Every hour)?
Damage to these specific areas of the brain (Limbic system, Amygdala, and Prefrontal Cortex) is a biological risk factor for aggression.
What is the Brain structure/Prefrontal Cortex?
Bruising, lacerations, or burns in "various stages of healing" are classic indicators of this.
What is Physical Abuse?
Unwanted attention, such as following a target, showing up unannounced, or nuisance texts, defines this behavior often seen in IPV.
What is Stalking?
This intervention helps the client feel understood by repeating or paraphrasing what they have said during de-escalation.
What is Reflection (or Using Reflections)?
While in restraints, Range of Motion (ROM) exercises must be executed every ____ hours.
What is 2 hours?
Older adults are at higher risk for abuse if they have this characteristic.
What is Dependency (or Cognitive Impairment/Disabilities)?