TEACH FOR NURSES LESSON PLAN
Chapter 7: Domestic and Family Violence Assessment
CHAPTER OBJECTIVES
1. Recognize health care professionals’ role as mandatory reporters of abuse.
2. Discuss the health effects of violence.
3. Describe the use of the Abuse Assessment Screen (AAS) when one is screening for intimate partner violence (IPV).
4. Explain the aspects of assessment and history taking for suspected abuse.
STUDENT RESOURCES
understand
• Textbook Chapter 7
• Sherpath for Medical-Surgical Nursing*
• Animations (Evolve website)
• Answer Keys: Study Guide & Lab Manual
7-2
apply
• Case Studies (Evolve)
• Elsevier Adaptive Quizzing*
• HESI Case Studies*
INSTRUCTOR RESOURCES
before class
• Nursing Curriculum Standards (below)
in class
• PowerPoint Presentations (Evolve)
• Image Collection (Evolve)
* Sold separately from textbook.
TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
TYPES OF VIOLENCE
Bring in case examples of
the four types of intimate
• Activity: Have a guest speaker from one or more of the following organizations or groups speak to
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
Invite an RN who works
with adolescents to speak
to the class about the
Bring in a copy of the state
reporting requirements for
elder abuse and neglect.
Review the list of forensic
terminology of neglect and
abuse in Table 7.1.
Show pictures of various
bruising, laceration, and
cutaneous injuries that
indicate abuse of children,
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
this chapter.
CULTURE AND GENETICS
information from a mental
health provider, a social
clients they serve.
Review the risk factors
among ethnic and racial
minorities and discuss
• Online Activity: The text states that there is filittle research about the effectiveness of screening and
prevention efforts among racial and ethnic minority women.” Ask the students to search online for
any research that is available and report findings to the class.
DOCUMENTATION
up in court.
to uncomfortable victims.
Bring in actual
documentation of cases of
abuse to give the students
an example of verbatim
reporting. Hand out a copy
of your employer or
institutional protocols for
obtaining a history of
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
should take when an
adolescent admits to
a violent relationship.
Invite input from students
about how to tailor
questions to patients of
different ages.
Elder Person Abuse and
Neglect
Discuss the steps to be
taken if the health care
provider suspects abuse in
the cognitively challenged
patient. Investigate the
resources available to the
patient.
• Online Activity: Access the website of the department in your state that oversees public health and
human services. Determine what services or assistance the agency provides to families caring for
older adult members.
developmental stage of
the child in connection
with the injury.
documentation of the
physical exam. Review
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
Table 7.1 for correct
forensic terminology.
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IN-CLASS/ONLINE CASE STUDY
M.L. is a 15-year-old young woman who presents to the family planning clinic for her first visit. Before seeing the patient, the nurse reads
through the initial paperwork and notes that the patient is requesting a pregnancy test and birth control counseling. The nurse calls the patient
into the triage room and begins the initial interview and the sexual history assessment. When the nurse inquiries about the patient’s age of first
sexual encounter, the patient becomes upset and starts to cry. The nurse consoles the patient and listens carefully as the patient describes how
her father has been sexually abusing her since she was 5 years old. The patient explains that the abuse continues on a weekly basis. The patient
also shares that it has been 2 months since her last menstrual cycle, and she is worried that she may be pregnant. M.L. is in a monogamous
relationship with her boyfriend of 1 year and is sexually active with this partner.
1. How should the nurse proceed with the screening and interview?
2. M.L. answers yes to questions 1 through 3 on the AAS. How should the nurse proceed?
3. What is the nurse’s role in reporting the suspected abuse?
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4. How would the nurse proceed with the physical examination?
5. How should the nurse document the abuse?
NURSING CURRICULUM STANDARDS
QSEN/NLN COMPETENCIES
• Patient-Centered Care/Human Flourishing
o Culture and Genetics
• Teamwork and Collaboration/Professional Identity
o Child Abuse and Neglect
7-9
o Documentation
NURSING CONCEPTS
The following conceptual themes and specific concepts match those presented in Giddens, J. F. (2017). Concepts for nursing practice (2nd ed.).
St. Louis: Elsevier. The specific exemplars chosen and listed below for each concept have been tailored specifically to correspond to the Jarvis
textbook.
A full Concept-Based Curriculum Map covering the entire book can be found in the fiDownload by Resource Type” folder on Evolve.
THEME: Maladaptive Behavior
• Concept: Interpersonal Violence
Health Care Infrastructures
• Concept: Health Care Organizations
BSN ESSENTIALS
• Essential I: Liberal Education for Baccalaureate Generalist Nursing Practice
o Elder Abuse and Neglect
o Culture and Genetics
• Essential III: Scholarship for Evidence-Based Practice
o Objective Data
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• Essential IX: Baccalaureate Generalist Nursing Practice
ANSWERS TO QUESTIONS IN THE STUDY GUIDE
Note: Answers to these questions can be found on Evolve site. Click here.