Care of Vulnerable and Underserved Populations Online Course

Transcription

1 Intimate Partner Violence Objectives Define intimate partner violence (IPV), childhood exposure to IPV, child abuse, and elder abuse. Present models that elucidate the phenomenon of IPV Describe the health effects of IPV Review current and recommended practices to address IPV Outline challenges to addressing ipv, including patient, provider and health system factors Suggest interventions to improve care of those affected by IPV 1. Which of the following is the most accurate definition of intimate partner violence (IPV)? a. IPV is another term for domestic violence and refers to any physical abuse or infliction of injury that occurs between family members within the home. b. IPV is a term that refers to the physical abuse or infliction of injury that is perpetrated by someone who is, was, or wishes to be involved in an intimate or dating relationship with an adult or adolescent, and is aimed at establishing control by one partner over the other. c. IPV is a term that refers to a pattern of assaultive and coercive behaviors that may include physical injury, psychological abuse, sexual assault, progressive social isolation, stalking, deprivation, intimidation, and threats that is perpetrated by someone who is, was, or wishes to be involved in an intimate or dating relationship with an adult or adolescent, and is aimed at establishing control by one partner over the other. d. IPV is a term that refers to a pattern of assaultive and coercive behaviors that may include physical injury, psychological abuse, sexual assault, progressive social isolation, stalking, deprivation, intimidation, and threats that is perpetrated by one spouse against their wife or husband.

2 2. Which range of numbers best represents the reported prevalence of women in the United States who have ever experienced IPV as an adult? a. 0-10% b. 11%-24% c. 24%-34% d. 35%-50% 3. What is the approximate prevalence of direct child abuse by men who also frequently physically assault their female partners? a. 10% b. 25% c. 50% d. 80% 4. Which of the following individual factors is not associated with an increased risk of perpetrating IPV? a. Low academic achievement b. Alcohol or drug use c. Old age d. Unemployment 5. Which of the following statements about the health effects of IPV victimization is false? a. IPV victimization is associated with an increased risk of contracting a sexually transmitted infection.

3 b. Children who witness parental IPV have more depression, anxiety, behavioral problems, and learning problems than other children. c. Women and men who experience only psychological abuse (and no physical abuse) do not experience adverse health consequences. d. IPV victimization of pregnant women is associated with a higher risk of pregnancy and fetal complications including low birth weight and fetal demise. 6. Which of the following statements about IPV perpetration and batterer s treatment is false? a. Perpetrators of IPV often minimize and deny their abusive behavior and express a belief that they are the true victims in the relationship. b. The drop out rate in batterer s treatment programs is very low when the perpetrator s attendance in the program is mandated by the court system. c. Emerging research suggests that male perpetrators of IPV may have worse physical health status than men who do not perpetrate IPV. d. Boys who witness parental IPV as children are at increased risk of perpetrating IPV as adults. 7. Which of the following statements is false? Adults who experienced various traumatic experiences as children (like being abused as children or witnessing parental violence) also: a. Are more likely to smoke cigarettes than adults who are well matched for age and socioeconomic status b. Are more likely to have more lifetime sexual partners than adults who are well matched for age and socioeconomic status

4 c. Are more likely to have COPD, diabetes, and myocardial infarctions than adults who are well matched for age and socioeconomic status d. Are no more unhealthy than adults who are well matched for age and socioeconomic status 8. Which of the following statements about screening for IPV is false? a. Routine, direct screening of all women patients for IPV victimization increases identification of women who have been hurt or threatened by their partner. b. The goal of screening patients for IPV is not to force disclosure of IPV but rather communicate that the healthcare setting is a safe and confidential place to discuss IPV when the patient feels ready. c. It is safe to screen patients for IPV with their family members or friends in the room as long as the patient does not look uncomfortable. d. There are multiple mnemonics that can be used to help providers remember how to ask patients about IPV. 9. Ms. L is a 30 year old woman who presents for an annual check up. Which of the following questions is not appropriate to use when screening Ms. L for IPV victimization? a. Has your partner ever hit you or hurt you? b. Are you an abused woman? c. Has your partner ever forced you to have sex when you did not want to? d. How does your partner treat you? 10. Ms. L discloses that her current boyfriend criticizes her frequently and has slapped and hit her. A month ago he hit her as soon as she closed the apartment door when she came home an hour later than she had originally planned to return. Which of the following assessment questions does not need to occur immediately after Ms. L discloses IPV victimization? a. Where her boyfriend (the perpetrator) is located during the healthcare visit

5 b. Whether Ms. L has been threatened with a weapon or with imminent severe harm c. Whether the Ms. L s parents and siblings approve or disapprove of her relationship d. Whether Ms. L or her boyfriend have children who are also being harmed 11. Which of the following interventions below would not be appropriate for youto do after Ms. L discloses IPV victimization? a. Offer Ms. L an IPV hotline number b. Offer Ms. L supportive messages c. Offer the Ms. L advice that she should leave the relationship immediately d. Offer Ms. L assistance in developing a safety plan 12. You are completing your chart notes for the encounter with Ms. L. to provide written documentation that Ms. L reported IPV victimization. Which of the following statements is correct? When documenting evidence of IPV in the medical record of an adult who reports being victimized by their partner it is important to: a. Avoid using quotation marks and direct patient quotes when recording the patient s history. b. Not include the perpetrator s name in the medical record. c. Record the victim s description of incidents of IPV including the date, time, perpetrator identity, and location in which these events occurred. d. Avoid including diagrams or photos of the patient s injuries.

6 13. Which of the following statements about IPV programs in the healthcare setting is true? a. Routine screening of patients directly for IPV does not result in greater identification of victims of IPV than screening for IPV only when the patient has injuries or other indicator conditions. b. Healthcare providers do not experience any distress when patients disclose IPV as long as the healthcare provider is not directly involved in a violent relationship. c. There are no national guidelines that advocate screening men for IPV. d. A systems change approach results in a dramatic increase in the number of referrals to an IPV specialist in the healthcare setting. 14. Which patients should be screened for IPV? a. 35 year old married woman with no past medical history. b. 52 year old woman with a history of falls. c. 25 year old woman with a history of substance use. d. 22 year old woman presenting with fetal demise after slipping in the bathtub. e. all of the above f. all except for a FOR MORE INFORMATION ON HOW TO IMPLEMENT IPV SCREENING, TREATMENT, AND PREVENTION PROGRAMS IN THE HEALTHCARE SETTING PLEASE GO TO