CMN 350 Psychiatric-Mental
Health Nursing Exam #2 with
complete verified solutions
2025
Cycle of violence - answer I. Tension Building
II. Serious Battering Incident
III. Honeymoon
Has periods of escalation and de-escalation
Tension building - answer Phase I in the cycle of violence.
Man:
He has excessively high expectations of her.
He blames her for anything that goes wrong.
He does not try to control his behaviors.
He is aware of his inappropriate behaviors but does not admit it.
Verbal and minor physical abuse increase.
Afraid that she will leave, he gets more possessive to keep her
captive.
He gets frantic and more controlling.
He interprets her withdrawal as rejection.
Woman:
She is nurturing, compliant tries to please him.
,She denies the seriousness of their problems.
She feels she can control his behaviors.
She tries to alter his behavior to stay safe.
She tries to prevent his anger.
She blames external factors—alcohol, work.
She takes minor abuse but does not feel she deserves it.
She gets scared and tries to hide (withdrawal).
She might call for help as the tension becomes unbearable.
The abuser has minor episodes of anger and can be verbally abusive
and responsible for some minor physical violence. The vulnerable
person is tense during this stage and tends to accept the blame for
what is happening.
Serious battering incident - answer Phase II in the cycle of
violence.
Man:
The trigger event is an internal or external event or substance.
The battering usually occurs in private.
He will threaten more harm if she tries to get help (police, medical).
He tries to justify his behaviors but does not understand what
happens.
He minimizes the severity of the abuse.
His stress is relieved.
Woman:
In cases of long-term abuse, she might provoke it just to get it over
with.
She might call for help if she is afraid of being killed.
,Her initial reaction is shock, disbelief, and denial.
Fearing more abuse if the police come, she might plead for them not
to arrest him.
She is anxious, ashamed, humiliated, sleepless, fatigued,
depressed.
She does not seek help for injuries for a day or more and lies about
the cause of injuries.
The tension becomes too much to bear, and serious abuse takes
place. The vulnerable person can try to cover up the injury or try to
get help.
Honeymoon - answer Phase III in the cycle of violence.
Man:
He is loving, charming, begging for forgiveness, making promises.
He truly believes that he will never abuse again.
He feels that he taught her a lesson and she will not act up again.
He preys on her guilt to keep her trapped.
Woman:
She sees his loving behaviors as the real person and tries to make
up.
She wants to believe that the abuse will never happen again.
She feels that if she stays, he will get help; the thought of leaving
makes her afraid.
She believes in the permanency of the relationship.
The situation is defused for a while after the violent episode. The
abuser becomes loving, promises to change, and is sorry for the
, behavior. The vulnerable person wants to believe this in hopes for a
change. Eventually, the cycle begins again.
Periods of escalation and de-escalation - answer The cycle of
violence has this.
Usually, continue with shorter and shorter periods of time between
the two. Emotions for the abuser and vulnerable person, such as
fear anger, increase in intensity. Repeated episodes of violence lead
to feelings of powerlessness.
Priority in suspected abuse situation - answer Conduct the
interview in private, away from the suspected abuser.
What to say:
"I need to take (the victim) for tests."
"This is going to take a while, you can go to the cafeteria and get
some coffee."
How to conduct an interview with a victim of abuse - answer Build
trust and rapport.
Show empathy.
Try to normalize.
What to say:
"You're in a safe place."
"I believe you."
Drugs used to treat anxiety - answer Benzodiazepines:
Alprazolam
Lorazepam
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