SAMPLE NCLEX-LPN
experiences, social isolation from support networks, exposure to domestic violenceduringchildhood, pregnancy (especially if unplanned), being under 30 years old, and being subjected to stalking by a partner. Regardless of the type of abuse, communication with the abused individual should be open and empathetic . Encourage victims to share their experiences and provide them with counseling and insights about available resources and coping mechanisms. It is important that carers extend their support,andeducatetheabusedabouttheiroptions.Moreover,theLPN’sabilitytodeviseintervention strategies for both victims and potential victims while guiding them toward safety is pivotal. Continuously assessing the client’sresponses to these interventions is equally important. Recognizing Abuse and Neglect: Assessment and Intervention Evaluatingclientsforsignsofabuseorneglectandinterveningappropriatelyisacrucialresponsibilityof registered nurses. This assessment involves identifying risk factors associated with these harmful behaviors and recognizing any observable indications of neglect or abuse during the assessment process. In fact, nurses are mandatory reporters of abuse or neglect. Currentresearchunderscoresthatabuseandneglectcanimpactindividualsacrossallagegroups.Yet, specificriskfactorslinkedtoboththevictimandtheperpetratorcontributetotheoccurrenceofabuse and neglect. These risk factors canincreasethelikelihoodofabusebytheperpetratorandrenderthe victim more vulnerable. Certain client groups are more susceptible to abuse and neglect compared to others. Females, pregnant women, infants, children, individuals with cognitive impairments, those with developmental challenges, people facing physical or mental disabilities, and the elderly are at a heightened risk for abuse and neglect when compared to individuals without these conditions. Abusersoftenexhibittraitssuchassubstanceabuse,psychiatricdisorders,poorparentingskills,anger managementissues,lowself-esteem,inadequatecopingstrategies,poorimpulsecontrol,immaturity,a personalhistoryofabuseorneglect,andcurrentcrisissituations.Theseattributesserveasriskfactors rather than justifications for abusive behavior. The past history of abuse and neglect experienced by perpetrators is a powerful influence that perpetuates a cycle of mistreatment throughout their lives. This cycle, also known as the cycle of batteringorviolence ,posesasignificantthreattovictimsofspousalabuse,involvingstagesoftension building, explosion, and honeymoon. The assessment process includes evaluating both risk factors and visible signs of abuse or neglect. While some signs like visible injuriessuchasvaginalbleedingintoddlersorcircularburnsonchildren areevident,otherslikeadisheveledelderlyperson'sattireoralistlesschildarelessstraightforward.In suchcases, professionaljudgmentandcriticalthinkingarevital tocorrectlyassesswhetherthesigns point to abuse or neglect.
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