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abuse and neglect
| Question | Answer |
|---|---|
| Battering | repeasted physical violence and assault,includes-physical,sexual,emotional and econominc abuse |
| domestic violence (IPV) -intimate partner violence | Phase 1: arguing and verbal abuse.pahse 2:progresses to physical and sexual abuse,Phase 3:denial and apoligies(honeymoon phase) |
| Battered women | <10% report battering, because of personal fear,belief it will change,lack of financial support,blames herself,belief its part of marriage-leading cause og injury between 15-44yo |
| Battered patient | injuries involve contusions, lacerations of the face,head ,neck,breasts and abdomen |
| Physical assault | intentional act that creates apprehension in another of an imminent harmful or offensive act |
| Types of elder abuse | sexual,emotional/psychological,neglect,abandonment,finantial ot material exploitation and self neglect |
| Self neglect | behaviors of an older adult that intentionally threaten personal health or safety |
| Elder abuse | avg age 78yo,widows over 75 yo are at greatest risk.Neglect is most common form.unexplained trauma is most common finding.abusers are most often the children |
| Neglect | most common form of child abuse |
| Characteristics of abusers | not related to social class,income or level of education,most abusers are parents 77%.most under 40.neglect from women, sexual abuse from men |
| Soft tissue injuries | most common injury seen in child abuse,patterned injuries often,scalds are common |
| Fractures | second most common injury, rib and multiple fractures usually |
| Head injuries | most common cause of death |
| Abd injuries | less common, usually rupture liver,intestines and mesentry |
| Shaken baby syndrome | causes cerebral hemmorrage,brain damage,blindness and paralysis,occurs often before age 2, up to 5 |
| Supervision neglect | death that involves a critical moment in which the caregiver is absent |
| Chronic neglect | death that is caused by slow building problems(malnutrition) |
| Abusive parent characeristics | male,mid 20s,below poverty level,not finished HS,depressed,was abused |
| Aquaintance sexual assult | 30% occur to victims 11-17 yo |
| Battering is a form of domestic violence that | Establishes control and fear in a relationship through violence and threats |
| Infliction of anguish, pain, or distress through verbal or nonverbal acts is | Emotional abuse |
| Refusal or failure to fulfill obligations to a person is called: | Neglect |
| The violence associated with battering: | Escalates over time |
| Which phase in the cycle of domestic violence is most likely to precipitate a call to 911 | Second phase |
| Domestic violence against women | Is the leading cause of injury to women between the ages of 15 and 44 |
| Male victims of battering | Account for about 5% of reported incidents of domestic violence |
| The typical characteristics of one or both persons in an abusive relationship include | Dependence on alcohol or other drugs |
| Unintentional injuries tend to be centered on the | Extremities |
| Which of the following would lead you to suspect injury caused by abuse? | Repeated requests for EMS assistance |
| You are called to care for a victim of domestic violence. On arrival, your primary concern is | The safety of the scene and personal safety |
| During the interview of a possible abuse victim, the paramedic should | Tell the victim that he or she suspects that the patient’s injuries are due to abuse |
| If a suspected abuse victim elects not to be transported, the paramedic should privately supply him or her with | A list of community resources, shelters, and phone numbers |
| Before you begin to display sympathy or question an abuse victim regarding violence, the victim should be in the ambulance and separated from the perpetrator. This is because the | Perpetrator is often unwilling to allow the patient to make a statement |
| If any form of abuse or neglect is suspected by the paramedic team, it must: | Document findings factually and provide details about the injuries in written documentation |
| If the perpetrator of the abuse is in custody but his or her release is likely, this information should be: | Communicated to the patient, along with advice to take precautions for personal safety |
| Which of the following would be at the greatest risk for elder abuse? | An 82-year-old bedridden male living with his son’s family |
| The most common form of elder abuse in the domestic setting is | Neglect of the victim |
| Elder abuse is most commonly inflicted by | Adult children of the victims |
| The most common type of child abuse is | Neglect |
| The most common perpetrator of child abuse is: | The victim's mother |
| The form of child abuse most commonly attributed to female perpetrators is: | Neglect |
| Which of the following is a characteristic of a child abuser? | Blames the child for the injury |
| Most victims of child abuse are: | Less than 7 years of age |
| The most common type of injury seen in child abuse is: | Soft tissue injury |
| Most fatalities in child abuse cases occur in what age group | Less than 4 years of age |
| A major factor in the likelihood of child abuse is: | Living in a home where spouse or partner abuse occurs |
| You are dispatched to a sexual assault. The victim exhibits petechiae of the face and conjunctiva. This would be indicative of: | Choking of the victim |
| Which of the following is a true statement | Rape is a crime of violence, motivated by the desire for power |
| Which of the following cases is most suggestive of possible abuse in a 2-year-old child | 2nd and 3rd degree burns on both lower legs from the knees down |