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GCC Nursing 210 Exam 4 Latest Update
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GCC Nursing 210 Exam 4 Latest Update ...
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GCC Nursing 210 Exam 4 LatestUpdate
What does the acronym SAFE stand for in associstion to abuse - Answer Stress/safety
Afraid/abuse
Friends/family
Emergency plan
Desired outcome for abuse victim - Answer Safety
Interventions of abuse - Answer Identify a violent situation
provide trust
physical priorities first
determine potential for more abuse
document everything
Assist in crisis intervention
refer to a safe house
Refer to social worker for legal issues
Types of rape - Answer Date, marital, gang, stranger, relative
Assessment of abuse victim - Answer Physical injuries
Emotional status
Coping behaviors
Support system
Details
Refer to SANE (sexual assault nurse examiner)
Rape trauma syndrome - Answer Variant of PTSD
Occurs after actual or attempted sexual assault
Acute phase of rape trauma syndrome - Answer expressed style shows emotion
, controlled style calm may be in shock
May last a couple of weeks
Disoriented, shocked, disbelief
Long-term phase of rape trauma syndrome - Answer 2 or more weeks after the rape
Intrusive thoughts-PTSD
Increased motor activity
Mood swings
Depression
Silent rape reaction - Answer Doesnt tell anyone
May surface later
90% of elder abuse is commited by... - Answer A family member. usually dependent of
older adult, substances abusers, or untx mental problems
Why are elder abuse cases often not reported? - Answer Shame
Self-blame
Fear of reprisal
Fear of loss of independence
Concerns about retaliation
Unaware if rights
Unaware of how/where to get help
Elder abuse - Answer Any intentional action by caregiver or person trusted in care of
older adults that causes harm or serious risk of harm or failure to protect from harm
All inclusive term for all forms of elder mistreatment
Forms of elder abuse - Answer Physical
Sexual
psychological
Financial
Neglect
Common signs and symptoms of elder abuse - Answer Depression
, confusion
fearfulness
changes in behavior
loss of sleep
Suspect elder abuse if... - Answer Significant delay between time of injury and time of
treatment requested
Patient and caregivers explanations are contradictory or vague
Repetitive visits to the emergency department
Changes healthcare professionals frequently and uses a variety of facilities
When to suspect physical abuse - Answer When injuries cannot be explained or are in
different stages of healing
fractures abrasions burns wounds and ecchymosis are present
When to suspect sexual abuse - Answer Ecchymosis involving genitalia or breasts
unexplained vaginal or anal bleeding
stained or torn garments
a preoccupation with sex or a sexually transmitted infection
When to suspect psychological abuse - Answer Patient States they are verbally abused
acts withdrawn or unusually depressed, fearful, agitated, or confused
Has a sudden change in behavior or alertness in the presence of any of the preceding
signs
When to suspect neglect - Answer Patient has any unusual weight loss, is malnourished
or sedated, exhibits poor hygiene and grooming, or has unmet medical needs
Levels of CIWA (clinical Institute withdrawal assessment of alcohol) - Answer <8 mild
withdrawal
8-15 moderate withdrawal
> 15 severe withdrawal
67 max score
Levels of COWS (clinical opiate withdrawal scale) - Answer 5-12 mild
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