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RNSG 2539 FiNaL!!!-Questions and Answers-Guaranteed Pass
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RNSG 2539 FiNaL!!!-Questionsand Answers-Guaranteed Pass
SAFE Questions
S
A
F
E - -Stress/Safety
Afraid/Abused
Friends/Family
Emergency plan
-SAFE Questions - S (3) - -Stress/Safety
-What stress do you experience in your relationships?
-Do you feel safe in your relationships?
-Should I be concerned for your safety?
-SAFE Questions - A (6) - -Afraid/Abused
-Have there been situations in your relationships where you have felt
afraid?
-Has your partner ever threatened or abused you or your children?
-Have you ever been physically hurt or threatened by your partner?*
-Are you in a relationship like that now?
-Has your partner ever forced you to engage in sexual intercourse that
you did not want?
-People in relationships/marriages often fight; what happens when you
and your partner disagree?
-SAFE Questions - F (3) - -Friends/Family:
-Are your friends aware that you have been hurt?
-Do your parents or siblings know about this abuse?
-Do you think you could tell them, and would they be able to give you
support?
-SAFE Questions - E (3) - -Emergency plan:
-Do you have a safe place to go and the resources you (and your
children) need in an emergency?
-If you are in danger now, would you like help in locating a shelter?
-Would you like to talk to a social worker/a counselor/me to develop an
emergency plan?
-When should you ask SAFE questions? - -When the woman is alone.
-Working with Victims of Partner Abuse - Dont's (10) - --Don't tell the
victim what to do.
-Don't express disgust, disbelief, or anger.
-Don't disclose client communications without the client's consent.
-Don't preach, moralize, or imply that you doubt the client.
,-Don't minimize the impact of violence.
-Don't express outrage with the perpetrator.
-Don't imply that the client is responsible for the abuse.
-Don't recommend couples' counseling.
-Don't direct the client to leave the relationship.
-Don't take charge and do everything for the client.
-Working with Victims of Partner Abuse - Dos (11) - --Do believe the
victim.
-Do ensure and maintain the client's confidentiality.
-Do listen, affirm, and say, "I am sorry you have been hurt."
-Do express, "I'm concerned for your safety."
-Do tell the victim, "You have a right to be safe and respected."
-Do say, "The abuse is not your fault."
-Do recommend a support group or an individual counseling.
-Do identify community resources, and encourage the client to develop
a safety plan.
-Do offer to help the client contact a shelter, the police, or other
resources.
-Do accept and respect the victim's decision.
-Do encourage development of a safety plan.
-Cycle of Abuse - -I--> Violence
IV
I Honeymoon (Remorseful) Period
IV
I----Tension Building
-Tension Building Phase - -•The perpetrator has minor episodes of
anger and can be verbally abusive and responsible for some minor
physical violence (pushing, shoving).
•As tension continues to grow, both partners try to reduce it.
•The perpetrator may turn to substances and the victim dismisses the
significance of the violence.
•The vulnerable person is tense during this stage and tends to accept
the blame for what is happening.
From Hack's PP
***The tension-building phase is when there may be arguments, stony
silence, or complaints from the husband. The tension ends in another
violent episode after which the abuser once again feels regret and
remorse and promises to change.***
-Violence (Acute battering Phase) - -•The tension becomes too much to
bear, and serious abuse takes place.
•The victim may provoke the perpetrator to reduce the unbearable
tension.
•The vulnerable person can try to cover up the injury or try to get help.
•This stage is the most violent and shortest
, -Honeymoon (Remorseful) Phase - -•The situation is defused for a while
after the violent episode.
•The perpetrator becomes loving, promises to change, and is sorry for
the behavior.
•The vulnerable person wants to believe this and hopes for a change.
•Eventually, the cycle begins again.
-Victims of rape fare best when... - -they receive immediate support
and can express fear and rage to family members, nurses, physicians,
and law enforcement officials who believe them.
-What are rape treatment centers? - --Emergency services that
coordinate psychiatric, gynecologic, and physical trauma services in one
location and work with law enforcement agencies.
-These are very helpful to victims
-In the emergency setting, the nurse is an essential part of the team in
providing ____________ to the victim. - -Emotional support
-What are ways a nurse can allow a victim to take back control? - -The
nurse should allow the woman to proceed at her own pace and not rush
her through any interview or examination procedures.
Ways to do so include allowing her to make decisions, when possible,
about:
-Whom to call,
-What to do next
-What she would like done It is the woman's decision about whether or
not to file charges and testify against the perpetrator. The victim must
sign consent forms before any photographs or hair and nail samples are
taken for future evidence.
-Who's decision is it whether charges will be filed or not? - -It is the
woman's decision about whether or not to file charges and testify
against the perpetrator.
-The victim must sign consent forms before... - -any photographs or hair
and nail samples are taken for future evidence.
-What kinds of treatments/teachings will a women get?
R/T STDs
R/T Pregnancy - --Prophylactic treatment for sexually transmitted
diseases such as Chlamydia or gonorrhea is offered.
---Doing so is cost-effective: many victims of rape will not return to get
definitive test results for these diseases.
-HIV testing is strongly encouraged at specified intervals because
positive status does not occur immediately.
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