Basics
Who can abuse happen to?
Anyone, any age, any background
What are the four main categories of abuse?
Physical, emotional, sexual, and neglect
Give some examples of neglect
poor hygiene, dirty clothes, severe diaper rash, malnourished
What age has the highest risk factor for child abuse?
<3 years old
What is the best type of prevention?
Before abuse starts: education, awareness, early intervention
What must a nurse do in good faith?
Report suspected abuse
What is abuse between partners?
Intimate partner violence
What are behavioral signs of abuse?
Advanced sexual knowledge not appropriate for age, anxiety, poor school performance, avoiding certain people, bedwetting, substance abuse
What theory states that abuse is a learned behavior?
Social learning theory
What type of communication style should be used when speaking to a victim of abuse?
Supportive and non-judgemental
T or F: nurses should report, investigate, and document abuse.
False - nurses should NOT investigate
What is the failure to meet basic needs?
Neglect
What is a caregiver red flag for abuse?
Won't let a patient speak for themself, conflicting stories, defensive/angry
What enzyme is linked to agression?
decreased MAOA
Give an example of a therapeutic question
"How did you hurt your arm?"
It is open-ended and doesn't put words into a victims mouth like the ? :
"Did someone hurt you?"
Why is abuse often underreported?
Fear or threats from the abuser
What are some different types of child abuse?
Injury, death, neglect, sexual abuse, sexual exploitation
Bed sores, weight loss, and untreated conditions are signs of what kind of abuse?
Elder abuse
A hx of abuse and a high-crime environment indicate what?
The socioecologic model
What is a key statement to tell patients?
"It's not your fault"
Documentation should be ______?
Objective and thorough
Sexual abuse
What are signs of a possible perpetrator?
ignoring boundaries, overly friendly with children, tries to be alone with a child, "accidentally" enters private spaces
T or F: risk factors are stackable
True
What are the goals of care for abuse victims?
Keeping the patient safe and free from harm