Child Abuse and Neglect > Pediatrics
Exam Review
Prevalence and Risk Factors of Child Abuse and Neglect
Total Questions : 6
Showing 6 questions, Sign in for moreA nurse is reviewing the statistics of child abuse and neglect in the United States. The nurse knows that the most common type of maltreatment reported in 2018 was:
Explanation
Choice A Reason: Physical abuse is intentionally causing an injury to a child, such as hitting, burning, shaking, or otherwise harming them. It is not the most common type of maltreatment reported in 2018.
Choice B Reason: Sexual abuse is any inappropriate sexual behavior with a child, such as touching or taking photographs. It is not the most common type of maltreatment reported in 2018.
Choice C Reason: Emotional abuse is rejecting, blaming, or constantly scolding children, particularly for problems beyond their control. It is not the most common type of maltreatment reported in 2018.
Choice D Reason: Neglect is failing to provide for a child's basic needs, such as food, water, shelter, love, and attention. It is the most common type of maltreatment reported in 2018, accounting for about 61% of all victims.
A nurse is assessing a child who has been brought to the emergency department by a neighbor. The nurse suspects that the child may be a victim of abuse or neglect. Which of the following are risk factors for child maltreatment? (Select all that apply.)
Explanation
Choice A Reason: Having a disability is a risk factor for child maltreatment at the child level, as it may increase the child's vulnerability or dependency on others.
Choice B Reason: Experiencing marital conflict, divorce, or death is a risk factor for child maltreatment at the family level, as it may disrupt the family stability or cohesion.
Choice C Reason: Living in a rural or urban area is not a risk factor for child maltreatment by itself, as it depends on other factors such as poverty, unemployment, or social isolation.
Choice D Reason: Having a history of abuse or neglect, mental illness, substance abuse, domestic violence, stress, or poor parenting skills is a risk factor for child maltreatment at the parent or caregiver level, as it may impair the caregiver's ability or willingness to provide adequate care for the child.
Choice E Reason: Attending preschool is not a risk factor for child maltreatment by itself, as it may provide the child with opportunities for socialization and education.
A nurse is interviewing a mother who has been accused of neglecting her children. The mother says "I don't know why they are saying I neglect my kids. I love them more than anything." How should the nurse respond?
Explanation
Choice A Reason: This response is accusatory and confrontational, which may make the mother defensive or angry. It does not explore the Reasons behind the mother's behavior or offer any help or guidance.
Choice B Reason: This response is informative but not empathetic or supportive. It does not acknowledge the mother's feelings or perspective and may make her feel guilty or ashamed.
Choice C Reason: This response is curious but not relevant or helpful. It does not address the issue of neglect or offer any solutions or resources.
Choice D Reason: This response is empathetic and supportive. It shows interest and concern for the mother and her children and invites her to share her difficulties and needs. It may help the nurse to identify the factors that contribute to neglect and offer appropriate interventions.
A nurse is educating a group of parents about how to prevent child abuse and neglect. One of the parents asks "What can I do if I feel overwhelmed or stressed by my children?" What should the nurse say?
Explanation
Choice A Reason: This response is not wrong, but it may not be realistic or feasible for some parents. It may also imply that the parent has a serious mental health problem, which may not be the case.
Choice B Reason: This response is appropriate and helpful. It suggests a simple and effective way to cope with stress and reduce the risk of abuse or neglect. It also acknowledges the parent's need for self-care and well-being.
Choice C Reason: This response is not wrong, but it may not be enough to prevent abuse or neglect. Talking to someone may provide emotional support, but it may not address the underlying causes of stress or offer practical solutions.
Choice D Reason: This response is not wrong, but it may not be suitable or accessible for some parents. Joining a support group or a parenting class may provide social support and education, but it may also require time, money, or transportation that some parents may not have.
A nurse is caring for a child who has been sexually abused by a relative. The nurse knows that the child may experience long-term outcomes of child abuse and neglect, such as:
Explanation
Choice A Reason: Post-traumatic stress disorder (PTSD) is a mental health condition that can develop after experiencing or witnessing a traumatic event, such as sexual abuse. It can cause symptoms such as nightmares, flashbacks, anxiety, or avoidance of reminders of the trauma.
Choice B Reason: Depression is a mood disorder that can cause persistent feelings of sadness, hopelessness, or loss of interest in activities. It can be triggered or worsened by stressful or traumatic events, such as sexual abuse.
Choice C Reason: Substance abuse is the misuse of alcohol or drugs to cope with negative emotions or problems. It can be influenced by genetic, environmental, or psychological factors, such as sexual abuse.
Choice D Reason: All of the above are possible long-term outcomes of child abuse and neglect, as they can affect the child's physical, mental, emotional, and social development and well-being.
A nurse is conducting a home visit for a family who has a history of child neglect. The nurse observes that the house is dirty, cluttered, and infested with insects. The nurse also notices that the children are wearing dirty clothes and have poor hygiene. The nurse should report this situation to:
Explanation
Choice A Reason: The police are not the appropriate agency to report child neglect, unless there is an immediate danger or threat to the child's safety.
Choice B Reason: Child protective services (CPS) are the agency responsible for investigating and responding to reports of child abuse and neglect. They can provide services and interventions to protect the child and support the family.
Choice C Reason: The school nurse is not the appropriate person to report child neglect, unless the child is enrolled in school and shows signs of neglect at school.
Choice D Reason: The family doctor is not the appropriate person to report child neglect, unless the child has medical issues related to neglect.
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