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NUR 245 Pre-Lab Week 4 Notes
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This is a comprehensive and detailed note on Pre-Lab Week 4 for Nur 245.
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Nursing 245 - Pre-Lab Week 4Sovanny Lim
September 18, 2020
Chapter 7
Study Guide
1. The most common physical health problems that result from intimate
partner violence are neurological, gastrointestinal, gynecological, chronic
pain, STDs, UTIs, injury such as laceration, strangulation.
2. The most common mental health problems that result from intimate
partner violence are depression, suicidality, PTSD, substance abuse.
3. Abuse is different from neglect because abuse is purposely harming
someone whereas neglect is failure to provide for a human’s basic needs.
4. Commonly used screenings for intimate partner violence are HITS (hurt,
insult, threat, scream), OAS/OVAT (ongoing abuse screen/ongoing violence
assessment tool), STaT (slapped, threatened, throw), HARK (humiliation,
afraid, rape, kick), CTQ-SF (modified childhood trauma questionnaire-short
form) and WAST (women abuse screen tool).
5. Commonly used screening questions for older adult abuse are:
○ Have you relied on people for bathing, dressing, shopping, banking,
meals?
○ Has anyone prevented you from getting food, clothes, medication,
glasses, hearing aides or medical care, or from being with people you
wanted to be with?
○ Have you been upset because someone talked to you in a way that
made you feel shamed or threatened?
○ Has anyone tried to force you to sign papers or to use your money
against your will?
○ Has anyone made you afraid, touched you in ways that you did not
want, or hurt you physically?
○ Doctor: Elder abuse may be associated with findings such as: poor eye
contact, withdrawn nature, malnourishment, hygiene issues, cuts,
bruises, inappropriate clothing, or medication compliance issues. Did
you notice any of these today or in the last 12 months?
6. Important elements of assessment for an abused person are a thorough head
to toe visual exam, radiologic survey to look for occult injuries, baseline
laboratory tests- CBC with platelet level, basic blood chemistries, serum liver
function tests, coagulation panel, urinalysis.
7. Accidental bruising in healthy, active children is common but in infants who
are not yet walking with support typically should not have bruises. Bruising
, in infants who are not yet walking should alert the provider to possible
abusive mechanisms to the injury. Bruising in atypical places such as the
buttocks, hands, feet, abdomen is rare and should arouse concern.
8. Some of the important elements of the child's medical history when
assessing for suspected child maltreatment are hospitalizations, recent
injuries, delay in seeking care, chronic medical conditions, take medication
or have a condition that may cause easy bruising, history of substance abuse
in the family, financial or social stressors at home, what typical methods of
discipline used in the home, using specific cultural practices to promote
health at home.
9. Some of the long-term consequences of child maltreatment are that it can
cause increased incidence of improper brain development, cerebral palsy
due to head trauma, delayed language development, and mental health
issues such as depression, anxiety. It can also lead to higher risk for chronic
diseases such as obesity, cardiovascular disease, cancer, and high blood
pressure. Childhood abuse and neglect also increase the likelihood of
juvenile arrest, teen pregnancy, and adult criminal behavior.
10. Risk factors that may contribute to child maltreatment are societal stressors,
legal status, lack of access to culturally appropriate care, substance abuse,
disabilities or chronic illness and the child, intimate partner violence.
Review Questions
1. D
2. A
3. B
4. B
5. A
6. E
7. D
8. D
9. B
10. C
11. B
12. D
13. B
14. D
15. A
Chapter 13
Study Guide
1. The three layers associated with the skin are the epidermis, dermis,
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