______________________________________________________________ Understanding Domestic Violence
10. Which of the following assessment questions is most important for the nurse to ask Monique? A) A. “Monique, you have had several injuries these last few months. When I see injuries like these, I become concerned that someone is hurting you. Are you in a relationship with someone who is hurting you?” B) “Monique, you have had several injuries these last few months. When I see injuries like these, it becomes clear to me that Sam is abusing you. What keeps you in your relationship with Sam during all these instances of abuse?” C) “Monique, you have had several injuries these last few months. When I see injuries like these, I know that it’s the best thing for you to leave Sam. How can I convince you that this is what you need to do?” D) “Monique, you have had several injuries these last few months. When I see injuries like these, it makes me concerned that you are doing things to provoke this abuse. What do you do to make Sam angry?” 11. Monique reports Sam has been physically abusing her, but she is not yet willing to leave. What might the nurse discuss with her at this point? A) Convince Monique to leave Sam immediately. B) Help Monique develop a personal safety plan. C) Determine why no one intervened with this family earlier. D) Meet with Monique and Sam together to try to resolve the conflict in their relationship. 12. What legal responsibility does the police officer have when responding to this call? A) Unless Monique wants to file charges, the officer is not required to write up the case as an intimate partner violence incident. B) The officer cannot arrest Sam unless he observes the violent incident himself. C) The officer’s legal responsibility is to make sure Monique is okay. ELDER ABUSE Enacted in 2010, the Elder Justice Act stands as the inaugural comprehensive legislation aimed at tackling the mistreatment, disregard, and misuse of older adults on a national scale. This law sanctioned a range of programs and initiatives designed to enhance federal efforts in responding to elder abuse, foster advancements in elder justice research and creativity, bolster Adult Protective Services systems, and furnish added safe- guards for residents of long-term care facilities (National Adult Protective Services Association, 2024). The National Adult Protective Services Association (NAPSA) is a national nonprofit organization recognized under section 501(c)(3) of the Internal Revenue Code, with members in all 50 states, the District of Columbia, and the territories.
Established in 1989, NAPSA aims to serve as a platform for Adult Protective Services (APS) programs to exchange informa- tion, address challenges, and enhance the quality of services for victims of elder and vulnerable adult mistreatment. Its mission is to bolster the capabilities of APS at the national, state, and local levels to identify, report, and respond to the needs of elders and adults with disabilities who experience abuse, neglect, or exploitation effectively and efficiently, and to prevent such mistreatment whenever feasible (NAPSA, 2024). According to NAPSA the types of elder abuse are highlighted as follows (NAPSA, 2024). TYPES OF ABUSE Physical abuse: May include slapping, hitting, beating, bruis- ing, or causing someone physical pain, injury, or suffering. This could include confining an adult against their will, such as locking someone in their room. Emotional abuse: Involves creating emotional pain, distress, or anguish through the use of threats, intimidation, or humili- ation. This includes insults, yelling, or threats of harm and/ or isolation, or nonverbal actions such as throwing objects or glaring to project fear and/or intimidation. Sexual abuse: Includes physical force, threats, or coercion to facilitate nonconsensual touching, fondling, intercourse, or other sexual activities. This is particularly true with vulner- able adults who are unable to give consent or comprehend the nature of these. SIGNS OF ABUSE • Bruising • Unexplained bruising • Strangulation • Fractures • Burns • Bed sores • Over medicating the victim • Not wearing appropriate clothing (ex. not dressing warm enough for winter temperatures) • Controlling access to or the movements of an individual. Neglect: Neglect includes failures by individuals to support the physical, emotional, and social needs of adults dependent on others for their primary care (National Adult Protective Services Association, 2024). Types of neglect include the following: • Physical neglect: Includes failing to attend to a person’s medical, hygienic, nutrition and dietary needs, such as dispensing medications, failing to arrange doctor appointments, changing bandages, bathing, grooming, dressing, or failure to provide ample food to maintain health.
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