Mental Health Final Exam
Violence and Abuse:
- There are consequences of lack of intervention and treatment in child
abuse- ACES
-these consequences are rates of asthma, SUD, anxiety, depression,
dissociative disorders, conduct disorders, personality disorders, ADHD,
learning disabilities, PTSD, adult cancer and cardiovascular disease correct
answershigher
Violence and Abuse: Child Abuse
- are the primary perpetrators
- most deaths infants to age 4 years
- occurs in all socioeconomic groups, all races, but is a consistent predictor
-abuse includes harm/suffering that is physical, emotional, sexual, or
neglectful that leads to death, harm, exploitation, including failure to act on
the child's part. >50% of the cases are neglect
-nurses are mandatory reporters of suspected child and elder abuse
and neglect correct answersparents, poverty
Violence and Abuse: Physical Abuse
- Physical abuse is intentional physical injury inflicted by a caregiver
-Physical indicators: bruises, wounds, injuries in different stages of healing,
of abuse, such as marks in shapes such as coat hangers or cigarette burns,
or hidden under clothing where they are hard to discern, bald patches on
scalp, subdural hematoma (children younger than 2), retinal hemorrhage
-Behavioral indicators: excessive fear of parents or constant effort to
please, wary of adult contact, nightmares or anxiety, obvious attempts to
bruises or injuries, withdrawn, depressed, aggressive, or disruptive
behavior at home or school, regressive behavior correct answerspatterning,
hide
Violence and Abuse: Neglect
- Neglect is failure to provide for the child's
-Physical indicators: malnourished, underweight, poor growth pattern,
inadequately supervised, poor hygiene, unattended physical problems,
inappropriate dress, school problems or failure, not enrolled in mandatory
school for age of child
-Behavioral Indicators: soiled clothing, poor hygiene, begging or stealing
food, emaciated or has distended belly, arrives early or stays late at
school, psychosomatic complaints, delinquency, alcohol or drug abuse,
chronic truancy, special educational needs not being attended correct
answersbasic needs
Violence and Abuse: Sexual Abuse
, -sexual abuse perpetrated by family or non family member. some types
include exhibitionism, touching, oral, anal, or vaginal penetration, being
forced to watch sex acts or pornography, in extreme cases, being sold for
sexual favors
-Physical indicators: difficulty in walking or sitting, itchy private areas,
urinary tract infections, torn, stained, or bloody underclothing, bruises or
bleeding in external genitalia, vaginal, or anal areas, sexually
transmitted infection, especially in
, swollen private ares or discharge, objects or liquid in vagina, rectum, or
urethra
-Behavioral Indicators: mistrust of adults, abnormal or distorted view of
sex, advanced or unusual sexual behavior or for age, phobias such as
fear of dark, men, strangers, leaving the house, delinquency or running
away, self-injury or suicidal thoughts and behaviors, mental disorders may
develop such as P correct answerspreteens, knowledge
Violence and Abuse: Emotional or Psychological Abuse
-behaviors that convey to the child that he or she is worthless, flawed,
unloved, or unwanted. these include constant criticism, threats, insults,
yelling, ignoring, favoritism, and harsh demands
- physical indicators: disorders, lag in physical development
-behavioral indicators: difficulty in learning and living up to potential,
lack of self- confidence, inappropriate adult like behavior or infantile
behavior, poor social skills, dramatic behavior changes such has
aggressiveness, drug use, change in friends or clothing, self-harm,
compulsiveness, and a needy pursuit of attention correct answersspeech
Violence and Abuse: Intervention
- know signs and behavior
-build with the child and parent rather than accuse- perpetrators are
the consumer too (do not want the parents to feel judged and become
defensive and leave)
- involve the supervisor immediately
- follow through with reporting, following protocol
-early ID and mental healthcare treatment are key to how much the child
can recover- lifetime recovery for many
- social service model is predominantly reunification
- understand that the child does not want to betray his or her parents
-provide a full physical assessment to allow the healthcare worker to
provide care and document
-the use of dolls or drawing may help the child to tell how the injury
or accident happened correct answerstrust, evidence
Violence and Abuse: Psychosocial Theories of Etiology of Abuse
- Theory- also known as the intergenerational violence theory,
behaviors are developed via modeling, identification, and human interaction.
A child who witnesses abuse or is abused in the family of origin learns that
violence is an acceptable reaction to stress, and it becomes a behavioral
norm.
-Societal and Cultural Factors: the factors that are correlated with family
abuse include poverty or unemployment, social isolation of families,
communities with inadequate
, resources and overcrowding, substance abuse, early parenthood,
inadequate coping skills, and family member with chronic health
conditions
-Frustration- model: high frustration about negative societal situations
may lead to aggressive behavior rather than healthy coping or even other
MHD
- Theory- male dominance in a politics and economics reinforces
the norm of men correct answerssocial learning, aggression, patriarchal
Violence and Abuse: Intimate Partner Violence
-Intimate partner violence (IPV) is defined as a of assault and course of
behaviors that may include physical injury, psychological abuse, sexual
assault, progressive social isolation, stalking, deprivation, intimidation,
and threats between current or former partners of an intimate
relationship, regardless of gender or marital status
-estimate 22-39% of women experience physical abuse by a partner.
males also are victims, but rate is 80% female and 20% male.
- leading cause of female homicides and birth defects during pregnancy
- most deaths do occur when attempting to so planning is critical to
teach victims
-occurs across all SES, across all racial groups (but disproportionately), in
all types of partnered relationships (disproportionately)
- starts with dating relationships and peaks in adolescents- early
intervention is critical
- identified by correct answerspattern, leave
Violence and Abuse: Risk Factors for Perpetrators of IPV
- onset adolescence and young adulthood
1. lower income
2. lower education levels
3. exposure to violence between
4. inadequate parenting
5. victim of child abuse and neglect, including sexual abuse
6. stress, anxiety, an antisocial
7. personality traits- anger and coping skills lacking
8. lacking skills
9. subculture or individual attitudes condoning violence in relationships
10.bully or bully victim
11.adherence to belief of strict roles
12.SUD
13.relationship factors: unresolved conflict, breakup/divorce correct
answersparents, communication, gender
Violence and Abuse: Intimate Partner Violence
-Protective Factors: high empathy, good grades, high verbal IQ, a positive
relationship with one's , attachment to school, possible access to housing
and employment
-Consequences of IPV: death, physical injury, suicidal ideations and
attempts, PTSD, depression, anxiety, dissociative disorders, NUD, chronic
health disorders: cardiovascular, gastrointestinal, reproductive,
musculoskeletal, nervous system
Violence and Abuse:
- There are consequences of lack of intervention and treatment in child
abuse- ACES
-these consequences are rates of asthma, SUD, anxiety, depression,
dissociative disorders, conduct disorders, personality disorders, ADHD,
learning disabilities, PTSD, adult cancer and cardiovascular disease correct
answershigher
Violence and Abuse: Child Abuse
- are the primary perpetrators
- most deaths infants to age 4 years
- occurs in all socioeconomic groups, all races, but is a consistent predictor
-abuse includes harm/suffering that is physical, emotional, sexual, or
neglectful that leads to death, harm, exploitation, including failure to act on
the child's part. >50% of the cases are neglect
-nurses are mandatory reporters of suspected child and elder abuse
and neglect correct answersparents, poverty
Violence and Abuse: Physical Abuse
- Physical abuse is intentional physical injury inflicted by a caregiver
-Physical indicators: bruises, wounds, injuries in different stages of healing,
of abuse, such as marks in shapes such as coat hangers or cigarette burns,
or hidden under clothing where they are hard to discern, bald patches on
scalp, subdural hematoma (children younger than 2), retinal hemorrhage
-Behavioral indicators: excessive fear of parents or constant effort to
please, wary of adult contact, nightmares or anxiety, obvious attempts to
bruises or injuries, withdrawn, depressed, aggressive, or disruptive
behavior at home or school, regressive behavior correct answerspatterning,
hide
Violence and Abuse: Neglect
- Neglect is failure to provide for the child's
-Physical indicators: malnourished, underweight, poor growth pattern,
inadequately supervised, poor hygiene, unattended physical problems,
inappropriate dress, school problems or failure, not enrolled in mandatory
school for age of child
-Behavioral Indicators: soiled clothing, poor hygiene, begging or stealing
food, emaciated or has distended belly, arrives early or stays late at
school, psychosomatic complaints, delinquency, alcohol or drug abuse,
chronic truancy, special educational needs not being attended correct
answersbasic needs
Violence and Abuse: Sexual Abuse
, -sexual abuse perpetrated by family or non family member. some types
include exhibitionism, touching, oral, anal, or vaginal penetration, being
forced to watch sex acts or pornography, in extreme cases, being sold for
sexual favors
-Physical indicators: difficulty in walking or sitting, itchy private areas,
urinary tract infections, torn, stained, or bloody underclothing, bruises or
bleeding in external genitalia, vaginal, or anal areas, sexually
transmitted infection, especially in
, swollen private ares or discharge, objects or liquid in vagina, rectum, or
urethra
-Behavioral Indicators: mistrust of adults, abnormal or distorted view of
sex, advanced or unusual sexual behavior or for age, phobias such as
fear of dark, men, strangers, leaving the house, delinquency or running
away, self-injury or suicidal thoughts and behaviors, mental disorders may
develop such as P correct answerspreteens, knowledge
Violence and Abuse: Emotional or Psychological Abuse
-behaviors that convey to the child that he or she is worthless, flawed,
unloved, or unwanted. these include constant criticism, threats, insults,
yelling, ignoring, favoritism, and harsh demands
- physical indicators: disorders, lag in physical development
-behavioral indicators: difficulty in learning and living up to potential,
lack of self- confidence, inappropriate adult like behavior or infantile
behavior, poor social skills, dramatic behavior changes such has
aggressiveness, drug use, change in friends or clothing, self-harm,
compulsiveness, and a needy pursuit of attention correct answersspeech
Violence and Abuse: Intervention
- know signs and behavior
-build with the child and parent rather than accuse- perpetrators are
the consumer too (do not want the parents to feel judged and become
defensive and leave)
- involve the supervisor immediately
- follow through with reporting, following protocol
-early ID and mental healthcare treatment are key to how much the child
can recover- lifetime recovery for many
- social service model is predominantly reunification
- understand that the child does not want to betray his or her parents
-provide a full physical assessment to allow the healthcare worker to
provide care and document
-the use of dolls or drawing may help the child to tell how the injury
or accident happened correct answerstrust, evidence
Violence and Abuse: Psychosocial Theories of Etiology of Abuse
- Theory- also known as the intergenerational violence theory,
behaviors are developed via modeling, identification, and human interaction.
A child who witnesses abuse or is abused in the family of origin learns that
violence is an acceptable reaction to stress, and it becomes a behavioral
norm.
-Societal and Cultural Factors: the factors that are correlated with family
abuse include poverty or unemployment, social isolation of families,
communities with inadequate
, resources and overcrowding, substance abuse, early parenthood,
inadequate coping skills, and family member with chronic health
conditions
-Frustration- model: high frustration about negative societal situations
may lead to aggressive behavior rather than healthy coping or even other
MHD
- Theory- male dominance in a politics and economics reinforces
the norm of men correct answerssocial learning, aggression, patriarchal
Violence and Abuse: Intimate Partner Violence
-Intimate partner violence (IPV) is defined as a of assault and course of
behaviors that may include physical injury, psychological abuse, sexual
assault, progressive social isolation, stalking, deprivation, intimidation,
and threats between current or former partners of an intimate
relationship, regardless of gender or marital status
-estimate 22-39% of women experience physical abuse by a partner.
males also are victims, but rate is 80% female and 20% male.
- leading cause of female homicides and birth defects during pregnancy
- most deaths do occur when attempting to so planning is critical to
teach victims
-occurs across all SES, across all racial groups (but disproportionately), in
all types of partnered relationships (disproportionately)
- starts with dating relationships and peaks in adolescents- early
intervention is critical
- identified by correct answerspattern, leave
Violence and Abuse: Risk Factors for Perpetrators of IPV
- onset adolescence and young adulthood
1. lower income
2. lower education levels
3. exposure to violence between
4. inadequate parenting
5. victim of child abuse and neglect, including sexual abuse
6. stress, anxiety, an antisocial
7. personality traits- anger and coping skills lacking
8. lacking skills
9. subculture or individual attitudes condoning violence in relationships
10.bully or bully victim
11.adherence to belief of strict roles
12.SUD
13.relationship factors: unresolved conflict, breakup/divorce correct
answersparents, communication, gender
Violence and Abuse: Intimate Partner Violence
-Protective Factors: high empathy, good grades, high verbal IQ, a positive
relationship with one's , attachment to school, possible access to housing
and employment
-Consequences of IPV: death, physical injury, suicidal ideations and
attempts, PTSD, depression, anxiety, dissociative disorders, NUD, chronic
health disorders: cardiovascular, gastrointestinal, reproductive,
musculoskeletal, nervous system
