Lesson 19 Discussion

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Case Study

Chapter 20 – Violence Affecting Families

Crisis is a temporary state of severe disequilibrium for

persons who face a threatening situation. The

community health nurse has been requested to follow

up on domestic violence cases as part of the workload.

The student nurse is accompanying the community

health nurse on the visits. The community health nurse is assessing the student nurse’s current

understanding of violence affecting families by asking

some theoretical questions concerning this critical issue.

1. The student nurse shares with the community

health nurse that a crisis is a state that

individuals can neither avoid nor solve with their

usual coping abilities and occurs when some

force disrupts normal functioning, thereby causing a loss of balance or normalcy in life.

Crises create tension; subsequently, efforts are

made to solve the problem and reduce the

tension. The community health nurse asks the

student nurse to identify and describe the two

main types of crisis. What is a brief description of

the two types of crisis?

2. The community health nurse has to follow up on

an abuse case involving a child and adolescent.

The community health nurse asks the student

nurse what are the ages that child abuse occurs

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and how is shaken baby syndrome or

Munchausen syndrome diagnosed? 3. Community health nurses use three levels of

prevention when working with families. What

type of focus is involved in the three levels of

prevention?

4. People in crisis need and often seek help. Crisis

intervention builds on these two phenomena to

achieve its primary goal—reestablishment of

equilibrium. What are the two major methods

with a brief description of crisis intervention?