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NURS 3013 Assessing Violence ,Culture and Spirituality Assignment
- Course
- NURS 3013
- Institution
- Prairie View A&M State University
Detailed assignment on Assessing Violence,Culture and Spirituality.
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Assessing Violence, Culture, & Spirituality AssignmentChapter 10: Assessing Violence
1. What are the broad categories of violence?
a. Domestic violence: a pattern of abusive behavior in any relationship that is
used by one partner to gain / maintain control over other partner.
b. Physical abuse: hitting, pushing, shoving, kicking, choking, burning, punching,
etc.
c. Psychological abuse: constantly insulting, criticizing, blaming, deprivation,
humiliating, stalking, intimidating, manipulating, & threatening to kill self/
significant other.
d. Economic abuse: Keeping the victim from getting/ keeping a job, controlling
all the money, limiting access to money, controlling knowledge of finances,
spending the victim’s money.
e. Sexual abuse: forcing victim into sexual acts, using violence during sexual
intercourse, using weapons sexually, performing sexual acts w/o the victim’s
consent.
f. Intimate partner violence: physical, sexual, / psychological abuse on a
current/ former partner.
g. Child abuse: recent act / failure to act on part of a parent/ caretaker that
results in death, physical/ emotional harm, exploitation, or sexual abuse.
h. Elder abuse: neglect, physical, sexual, financial, or psychological abuse;
exploitation, abandonment dec. quality of life.
i. School violence
j. Hate crimes
k. War crimes
l. Human trafficking.
2. What is the difference between abuse and neglect- provide an example?
a. Abuse: a recent act on part of a parent/ caretaker which result in death, serious
physical or emotional harm, sexual abuse or exploitation.
i. A parent hitting their child because the child was crying.
b. Neglect: failure to act on behalf of the parent/ caretaker which can result in
death, physical harm, emotional harm, or sexual abuse.
i. A parent not giving their child food or a bath in 1 week.
3. What is the nursing role in assessing types of violence?
a. Nurses are mandatory reporters of abuse
4. What are some of the health effects of violence?
a. Poor hygiene
b. Poor mental health status: anxiety, withdrawn, depressed/ or suicidal
c. Isolation: inability to trust
d. Unintended pregnancy, STIs
e. Increase risk for chronic health risks
f. PTSD
5. What does routine, universal assessment for IPV mean?
a. Every client regardless of age/ gender should be screened
i. Not all abuse types of visible
b. “Do you feel safe at home?”
, Assessing Violence, Culture, & Spirituality Assignment
c. Examining own’s beliefs, feelings, & biases.
d. Create a safe environment
e. Establish a trusting rapport
f. Simple direct questions
g. Do not interrupt
h. Show empathy and compassion.
6. How does routine assessment differ for adolescents? Elders? Children?
a. Adolescents: they may not be as open. They may only give you the information
that they want to give you. Also, they may have the abuser present in the room
with them. Or may not say anything about the abuser because it can be
someone in their family. Also, they may not say anything about any type of
abuse because other adolescents may think that saying something shows
weakness or may not be real at all.
b. Elders: Assessing elder abuse can be difficult because of the older person’s
isolation form community, immobility, fear of the abuser, & inability to report
because of cognitive impairments.
i. Elders are often unwilling to report abuse. The abuser may be their own
family.
ii. They may be unsure of who to contact.
iii. Many elders may prefer to stay at home even if it means suffering abuse.
c. Children:
i. The abuser may be present in the room!!!!
ii. Establish a reassuring environment
iii. Do not coerce the child to answer question offering a reward.
iv. Establish their understanding & ask simple questions.
v. Questions should be direct
vi. Avoid yes/ no questions, give the child many choices as possible.
7. What are key components of the physical exam and documentation for which nurses
are responsible?
a. Providing privacy for the pt.
b. Keeping hands warm to promote client’s comfort during examination
c. REMAINING NONJUDMENTAL regarding the client’s habits/ lifestyle.
d. educate & inform
e. observe general appearance
i. notice anything that looks abnormal / dress & hygiene
ii. inspect skin
8. Are there cultural or genetic factors the nurse should take into consideration during
this assessment?
a. Yes, Mongolian spots on buttocks & back of children occur in some populations
& can be confused w/ signs of abuse.
b. Skin fragility increases with age
c. People of color may not necessarily show signs of abuse.
Chapter 11: Assessing Culture
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