Ch. 35 - Survivors of Abuse and Neglect Flashcards

1
Q

Physical neglect, emotional neglect, verbal and sexual are all forms of….

A

abuse

must be reported!!!

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2
Q

When basic needs such as food, clothing, shelter, medical/dental care is not provided…

A

physical neglect

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3
Q

No love or support is a form of _____ neglect

A

emotional

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4
Q

degrading or ridiculing is a form of ____ neglect

A

verbal

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5
Q

Who is most at risk for abuse?

A

children and geriatric patients and adults who are developmentally disabled.

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6
Q

What are some PHYSICAL signs of abuse?

A
Bruises, bites, burns, bald spots, welts
Infected sores, STDs, UTIs
lacerations, fractures (inconsisent with Hx especially)
Malnutrition (may beg for money or food)
Pregnancy

VARIOUS STAGES OF HEALING

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7
Q

What are some BEHAVIORAL signs of abuse?

A
  • Fear of caretakers
  • Wary of physical contact with other
  • Rage
  • Withdrawn
  • Verbal report
  • Self injury
  • Poor hygiene
  • Running away from home
  • Poor performance in school
  • sexual promiscuity
  • unusual sexual knowledge
  • sexual abuse of others
  • anxiety/depression
  • Fatigue
  • overly compliant, passive, agressive
  • lacks attachment to parent
  • frequently absent from school
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8
Q

What are some signs of abuse we may spot in the parents of an abused child?

A
  • Offers conflicting, unconvincing, or no explanation for child’s injury
  • Desccribes child as evil or some negative way, belittles or berates
  • Uses harsh physical discipline with the child
  • Has a Hx of abuse as a child
  • Has a Hx of abusing animals/pets
  • rejects child
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9
Q

What are sign of child sexual abuse?

A
  • Has difficulty walking or sitting
  • Suddenly refuses to change for gym or to participates in physical activities
  • Reports nightmares
  • Bedwetting
  • Sudden change in appetite
  • Demonstrates bizarre, sophisticated, or unusual sexual knowledge or behavior
  • Runs away
  • Becomes pregnant/contracts STD
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10
Q

What are parental signs that they may be abusing a child?

A

Unduly protective of the child or severely limits the child’s contact with other children, especially of the opposite sex.

Is secretive and isolated.

Is jealous and controlling with family members.

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11
Q

What is a common form of therapy used with children who are too young to express themselves clearly?

A

play therapy.

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12
Q

List interventions fr abuse…

A
  • Treat injuries, malnutrition, physical disease (MEDICAL FIRST)
  • Document findings
  • Discuss with team before making your MANDATORY REPORT
  • Provide safe environment
  • Assist victim to ventilate feelings
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13
Q

____ is forced sexual activity

A

rape - crime of violence, force, domination and humiliation. NO CONSENT is given.

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14
Q

_____ _______ is a pattern of abuse to gain control over the victim.

A

domestic violence

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15
Q

Rape is an act of ______ not one of passion.

A

aggression

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16
Q

In sexual assault crisis intervention, the initial goal is to …

A

help the survivor return to their previous lifestyle as quickly as possible.

17
Q

Why is it important to include the client in the intervention from the beginning?

A

Rape makes a person feel powerless. Including the client promotes a sense of competency, control and decision making, validation or personal worth.

18
Q

What are interventions for rape victim?

A

encourage verbalization

identify coping used during rape

encourage problem solving to empower

maintain confidentiality

Establish support system

Rape crisis advocate (social worker)

Refer to support groups

contact law enforcement