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RNSG 2539 FINAL EXAM
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RNSG 2539 FINAL EXAM
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Class notes Transition of Professional Nursing 2nd edition Transition to Professional Nursing Practice, ISBN: 9781526482167
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RNSG 2539 FINAL EXAM LATEST ACTUAL EXAMSAFE Questions
S
A
F
E - ANSWER: Stress/Safety
Afraid/Abused
Friends/Family
Emergency plan
SAFE Questions - S (3) - ANSWER: Stress/Safety
-What stress do you experience in your relationships?
-Do you feel safe in your relationships?
-Should I be concerned for your safety?
SAFE Questions - A (6) - ANSWER: Afraid/Abused
-Have there been situations in your relationships where you have felt afraid?
-Has your partner ever threatened or abused you or your children?
-Have you ever been physically hurt or threatened by your partner?*
-Are you in a relationship like that now?
-Has your partner ever forced you to engage in sexual intercourse that you did not
want?
-People in relationships/marriages often fight; what happens when you and your
partner disagree?
SAFE Questions - F (3) - ANSWER: Friends/Family:
-Are your friends aware that you have been hurt?
-Do your parents or siblings know about this abuse?
-Do you think you could tell them, and would they be able to give you support?
SAFE Questions - E (3) - ANSWER: Emergency plan:
-Do you have a safe place to go and the resources you (and your children) need in an
emergency?
-If you are in danger now, would you like help in locating a shelter?
-Would you like to talk to a social worker/a counselor/me to develop an emergency
plan?
When should you ask SAFE questions? - ANSWER: When the woman is alone.
Working with Victims of Partner Abuse - Dont's (10) - ANSWER: -Don't tell the victim
what to do.
-Don't express disgust, disbelief, or anger.
-Don't disclose client communications without the client's consent.
-Don't preach, moralize, or imply that you doubt the client.
-Don't minimize the impact of violence.
,-Don't express outrage with the perpetrator.
-Don't imply that the client is responsible for the abuse.
-Don't recommend couples' counseling.
-Don't direct the client to leave the relationship.
-Don't take charge and do everything for the client.
Working with Victims of Partner Abuse - Dos (11) - ANSWER: -Do believe the victim.
-Do ensure and maintain the client's confidentiality.
-Do listen, affirm, and say, "I am sorry you have been hurt."
-Do express, "I'm concerned for your safety."
-Do tell the victim, "You have a right to be safe and respected."
-Do say, "The abuse is not your fault."
-Do recommend a support group or an individual counseling.
-Do identify community resources, and encourage the client to develop a safety plan.
-Do offer to help the client contact a shelter, the police, or other resources.
-Do accept and respect the victim's decision.
-Do encourage development of a safety plan.
Cycle of Abuse - ANSWER: I--> Violence
IV
I Honeymoon (Remorseful) Period
IV
I----Tension Building
Tension Building Phase - ANSWER: •The perpetrator has minor episodes of anger
and can be verbally abusive and responsible for some minor physical violence
(pushing, shoving).
•As tension continues to grow, both partners try to reduce it.
•The perpetrator may turn to substances and the victim dismisses the significance of
the violence.
•The vulnerable person is tense during this stage and tends to accept the blame for
what is happening.
From Hack's PP
***The tension-building phase is when there may be arguments, stony silence, or
complaints from the husband. The tension ends in another violent episode after
which the abuser once again feels regret and remorse and promises to change.***
Violence (Acute battering Phase) - ANSWER: •The tension becomes too much to
bear, and serious abuse takes place.
•The victim may provoke the perpetrator to reduce the unbearable tension.
•The vulnerable person can try to cover up the injury or try to get help.
•This stage is the most violent and shortest
Honeymoon (Remorseful) Phase - ANSWER: •The situation is defused for a while
after the violent episode.
•The perpetrator becomes loving, promises to change, and is sorry for the behavior.
, •The vulnerable person wants to believe this and hopes for a change.
•Eventually, the cycle begins again.
Victims of rape fare best when... - ANSWER: they receive immediate support and can
express fear and rage to family members, nurses, physicians, and law enforcement
officials who believe them.
What are rape treatment centers? - ANSWER: -Emergency services that coordinate
psychiatric, gynecologic, and physical trauma services in one location and work with
law enforcement agencies.
-These are very helpful to victims
In the emergency setting, the nurse is an essential part of the team in providing
____________ to the victim. - ANSWER: Emotional support
What are ways a nurse can allow a victim to take back control? - ANSWER: The nurse
should allow the woman to proceed at her own pace and not rush her through any
interview or examination procedures.
Ways to do so include allowing her to make decisions, when possible, about:
-Whom to call,
-What to do next
-What she would like done It is the woman's decision about whether or not to file
charges and testify against the perpetrator. The victim must sign consent forms
before any photographs or hair and nail samples are taken for future evidence.
Who's decision is it whether charges will be filed or not? - ANSWER: It is the
woman's decision about whether or not to file charges and testify against the
perpetrator.
The victim must sign consent forms before... - ANSWER: any photographs or hair and
nail samples are taken for future evidence.
What kinds of treatments/teachings will a women get?
R/T STDs
R/T Pregnancy - ANSWER: -Prophylactic treatment for sexually transmitted diseases
such as Chlamydia or gonorrhea is offered.
---Doing so is cost-effective: many victims of rape will not return to get definitive test
results for these diseases.
-HIV testing is strongly encouraged at specified intervals because positive status does
not occur immediately.
----Women are also encouraged to engage in safe-sex practices until the results of
HIV testing are available.
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