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CAPTA defines child abuse & neglect as a minimum any ___ or ___ to act that results in imminent risk of serious harm, death, serious physical/emotional harm, sexual abuse, or exploitation of a child by a ___ or ___.
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T/F If a nurse neglects a child that they are caring for can not be held responsible for the neglect?
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Child Health
Child Abuse and Neglect
| Question | Answer |
|---|---|
| CAPTA defines child abuse & neglect as a minimum any ___ or ___ to act that results in imminent risk of serious harm, death, serious physical/emotional harm, sexual abuse, or exploitation of a child by a ___ or ___. | At a minimum any recent act or failure to act that results in imminent risk of serious harm, death, serious physical/emotional harm, sexual abuse, or exploitation of a child by a parent or caretaker. |
| T/F If a nurse neglects a child that they are caring for can not be held responsible for the neglect? | False- CAPTA definition is that any employee of a residential facility or any staff person providing out of home care who is responsible for the child's welfare. under the Child abuse prevention and treatment act as amended and reauthorized june 2003 |
| ___ is the employment, use, persuasion, inducement, enticement, or coercion of the child to engage in any ___ explicit conduct or any simulation of such conduct for the purpose of the producing any visual depiction of such conduct? | Sexual Abuse-employmnt, use, persuasion, inducemnt, enticemnt, or coercion of child to engage in/assisting any other person to engage in any sexually explicit conduct/any simulation of such conduct for the purpose of producing any visual depiction of it. |
| The definition of ___ also includes rape and in cases caretaker or interfamilial relationships, statutory rape, molesttion. Prostitution, or other forms of sexual exploitation of children or incest with children. | Sexual Abuse |
| What are the 4 major types of abuse? | Physical; Neglect; Sexual; & Emotional |
| What is physical abuse? Give examples. | Injury due to infliction of physical injury-punching, biting, kicking, burning, shaking or otherwise harming a child. |
| T/F Major injury is responsible for more reported cases of physical abuse? | False Minor injury is responsible for more reported cases of physical abuse. |
| T/F Minor physical abuse causes more deaths? | False Major physical abuse causes more deaths |
| T/F Each state determines what to report as a major vs minor abuse? | True |
| What are the Major Types of Abuse? | Neglect, Sexual Abuse, & Emotional Abuse |
| ___ is the failure to provide for the child's basic physical, educational, and emotional needs? | Neglect |
| What is the normal age of onset for sexual abuse? Are males more abused then females? | 6-9 yrs old and females 4x more likely to be abused than a male |
| What is the most common form of child maltreatment? | Neglect |
| Neglect also includes ____ behaviors such as ___ & ____? | Maladaptive behaviors such as delinquency and substance abuse |
| Name some forms of sexual abuse. | Fondling a child's genitals, intercourse, incest, rape, sodomy, exhibitionism, and commercial exploitation through prostitution and production of pornographic materials. |
| ___ % of sexual abuse victims know their abuser? | 80% |
| Sexaul abuse relationship is usually ____ in length? | long term |
| T/F Sexual abuse never includes physical abuse? | False Sexual abuse may also include some physical abuse to force compliance |
| ___ includes acts or omissions by parents or other caretakers that have caused or could cause serious behavior, cognitive, emotional, or mental disorders. | Emotional Abuse |
| ___ is almost always seen with other types of abuse. | Emotional abuse |
| In 2003 906,000 children were __ or ___? 60% victims of neglect; 19% were physically abused; 10% were sexually abused; 5% were vicims of emotional abuse- These % run fairly consistent from year to year. | abused or neglected; 60% victims of neglect; 19% were physically abused; 10% were sexually abused; 5% were vicims of emotional abuse- These % run fairly consistent from year to year. |
| What are the parental risk factors for being a child abuser? | Hx of abuse or neglect in childhood; Hx of severe punishment; Difficulty controlling aggressive impulses; Exposure to violence; Social isolation w/ no support system; low self-esteem; limited nurturing skills |
| Most parental abusers are @ or below poverty level and are in their ___? | 20s |
| T/F If only one child out of 3 is being abused all the children get removed from the home. | True because if the abused one goes then the parent might select another child to be abused. |
| What are the child risk factors for being abused? | Temperment; position in family; A "different" child-physicall ill/disabled-illegitimate/unwanted-"NICU" babies; If the child reminds the person of a disliked person |
| Presence of Chronic stress; poverty (not enough $ for food); Alcoholism & durg abuse; Violence; Unemployement are all ___ risk factors? | environmental risk factors |
| Abuse is found in ___ educational, social, racial, cultural, religious, and economic boundries? | ALL |
| What are some signs of neglect that you usually see a combination of factors to be considdered or that arouse suspicion of abuse? | Failure to Thrive; Malnutrition; Unclean, poor personal hygiene; Inappropriate dress; Frequent injuries from lack of supervision; Evidence of poor health care |
| What are some behaviors that are signs of physical neglect? | Passive, dull behaviors; Self-stimulating behaviors; Excessive school absences; Drug or alcohol abuse; and Vandalism or shoplifting |
| What are the 7 signs of physical abuse? | 1. bruises & welts 2. Burns 3. Fractures & dislocations 4. Mouth injuries 5. Lacerations and abrasions 6. Abdominal swelling & pain & vomiting from punching 7. Behaviors associated with physical abuse |
| Bruises and welts of pattern of object used are good indicators for physical abuse. Name some objects that are used. | rulers; belts; sticks |
| What do various bruise colors indicate? | various stages of healing |
| What do you want to look for if a child has burns? | Shape-ciggaret burns round; placemnt-genital areas; Lack of splash marks; Be aware that some culture practices cause markings like that used by asians when they press coins on babies as a blessing. |
| T/F We use to blame parents of abuse when in reality the child had SIDs or brittle bones? | True. Still do until we Dx the problem. |
| 3/4 of child abuse cases involve areas of ___,___,___, & ___? | mouth, head, face, and neck |
| ___ is the result of force feeding or physical trauma. | mouth injuries |
| ___ have some respnsibilities toreport suspicious injuries as any other health care professional? | Dentist |
| What do we need to know about kids? | Their developemental level because if the parent says the child fel down the stairs and they cant crawl or walk you know they are lying. |
| What do you need to ask yourself as a nurse when you ask the parents of a suspected abused child what happened? | Is the story consisten often will spearate parents to see if they tell same story or ask the parents more than once. |
| Lacerations and abrasions particularly occur on ______.....? | Particularly on the back of arms, legs, and torso,genitalla, or face where child least likely to injure himself during normal play. Human teeth marks |
| What is the second cause of death with abused injuries? | Abdominal injury is the second cause of death with abuse injuries |
| Bleeding internally can lead to ___? | shock |
| Behaviors associatied with physical abuse: Child demonstrates fear of contact with ___; fear of going home; fails to cry even when in ___; Very watchful of ___; Lies still with little ___.... | Child demonstrates fear of contact with parent; Fear of going home; fails to cry even when in pain; very watchful of environment; lies still with little reaction. |
| Behavioral signs associated w/ physical abuse: may display __ & ___ with no sign of age appropriate ____; Withdrawal of aggressive behavior to seek ____? | may display affection and friendliness with no sign of age appropriate separation anxiety; Withdrawal or aggressive behavior to seek attention. |
| T/F A red flag of physical abuse is when you start an IV and their is no pain response from the child. | True |
| Waht is shaken baby syndrome? | Violent shaking of a baby causing the head to snap back and forth causing a whiplash type of injury |
| what is the #1 cause of childhood death? | Shaken baby syndrome |
| What are physical findings of emotional abuse and neglect? | Failure to Thrive & developmental delays; feeding problems; Sleep disorder; and enuresis. Make sure you rule out Organic FTT 1st. |
| What is enuresis? | Bed wetting |
| self-stimulation behaviors; withdrawl; infant lack of social smile & stranger anxiety; lags in emotional & intellectual development; destructive behaviors; unusual fearfulness; & inability to play are all behaviroal signs of ____ & ____? | emotional abuse and neglect |
| Bruises, bleeding, lacerations of the external genitalia, mouth or throat are all physical signs of ____? | sexual abuse |
| Torn bloody underclothing is a physical sign of ___? | sexual abuse |
| A red flag of ___ is difficulty walking or sitting? | sexual abuse |
| Pain on urinating, itching, swelling of the genital area, recuurent UTI, penile discharge,STD, and Pregnancy are all physical signs of ___? | sexual abuse |
| excessive/public ___; inappropraite sexual play, promsicuity; excessive withdrawn, preoccupied w/ fantasies, excessive daydreaming, poor peer ___,___ behavior; regressive enuresis are all signs of sexual abuse | excessive/public masturbation; inappropraite sexual play, promsicuity; excessive withdrawn, preoccupied w/ fantasies, excessive daydreaming, poor peer relationship,clingy behavior; regressive enuresis are all signs of sexual abuse. |
| decrease grades, depression; sudden onset ____ & fear, _____ changes are all behavioral signs of sexual abuse? | decrease grades, depression; sudden onset phobias & fear, personality changes are all behavioral signs of sexual abuse |
| What are some behaviors of the sexual abuser that they exhibit? | 1. difficulty showing concern for child 2. Give conflicting stories about the incident 3. Hx of abuse and frequent visits to ER's. Why did you come so far to this ER when you live 5 mins away from a ER? |
| If the injury is ____ with cause given; explanation inconsistent with child's ___; or a parent may blame a ___ are all examples of giving conflicting stories? | If the injury is inconsistent with cause given; explanation inconsistent with child's developemntal level; or a parent may blame a sibling are all examples of giving conflicting stories |
| If a parent is preoccupied with own needs and has inappropriate emotional response they are exhibiting? | behaviors of an abuser |
| What is Munchausen Syndrome By Proxy (MSBP)? | MSBP refers to an illness that one person fabricates or induces into another person. |
| Is the child diagnosed with MSBP? | No they are diagnosed with falsification of the child's condition and the parent is diagnosed with MSBP |
| MSBP-common conditions produced are ___ or ___ caused by suffocating the child? | seizures or apnea |
| MSBP-Bleeding is commonly caused by adding ___ to urine and presenting a ___ Hx? | Bleeding by adding blood to urine and presenting a fictitious Hx |
| What are some common MSBP Sx that are induced by use of drugs? | Chronic poisoning of the child and the administration of substnaces to cause diarrhea, Vomiting, fever, & rash are all common MSBP symptoms |
| In MO where do you report suspected abuse? | Division of family services |
| In KS where do you report suspected abuse? | state department of social and rehabilitative services |
| T/F All health care workers, teachers, law enforcement officers, are not required to do mandatory reporting if they suspect abuse in the course of their professional duties | False they are required to mandatory report |
| T/F You are responsible to report even if the Dr disagrees and refuses to report abuse? call 911 if the child is in immediate danger | True |
| Who do you call if you are in the hospital? | Call the social worker |
| What are some interventions for childabuse? (Hint3) | 1.Protectthe child from further abuse 2. Family support 3. Support of non-abusive parent or family member |
| Referrals are investigated by ___ welfare departments and a ____ investigates; based on their findings the child may be ___ or ___? | Referrals are investigated by child welfare departments and a caseworker investigates; based on his findings the child may be left in the home or temprarily removed |
| T/F In protecting the child from further abuse the child may be hospitalized for medical care of his injuries. regardless of abuse these children are the same as any other child in the hospital and investigation may be ongoing while child is hospitalized. | true |
| How can you support the family of an abused child? | Be a role model for parents; encourage child's relationship with parents; Establish a therapeutic relationship with parents |
| How can you establish a therapeutic relationship with parents of an abused child? | Keep a + nonjudgmental attitude; Utilize opportunities to educate parents about physical & emotional needs of child; Encourage nonviolent methods of discipline; Offer praise & encouragement; Referral to appropriate agencies |
| What are 3 ways you can support a non-abusive parent or family member? | 1. Encourage them to support the child & encourage them to help child talk about experience 2. Alert them to changes in behavior & signs of distress in the child 3. Help the family member express & deal w/ their own feelings of guilt, blame, & distres |
| What do you want to do for an abused child when they are being discharged from the hospital? | Foster Home placement by preparing child for this event; allow him opportunity to express his feelings; encourage foster parents to visit in the hospital; Help them to get to know child |
| Professional counseling of both the abuser & victim; Anger control; Education in childrearing techniques; early identification of high risk populations are all prevention measures for ___? | abuse |
| What are some high risk populations of abuse? | primiparas,teen-age, unmarried, & low-socioeconomic status as well as NICU babies |
| What can you do to prevent sexual abuse? | Educate child on self-protective techniques; teach safety & help them to identify potential risk situations; encourage education programs in school |
| Parent's anonymous; Parent's united international inc; and Child abuse prevention association (CAPA) are all social agencies for ___? | abuse |
| What is parent's anonymous? | provides help to parents who have abused or are afraid of abusing their children |
| What is parent's united internatioonal inc? | Works with families of sexual abused children |
| What is Child Abuse prevetion association (CAPA)? | Offers counselin, support services, and education for abused children and families |
Created by:
cgwayland
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