Child Abuse and Neglect
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show | 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.
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show | 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
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___ 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? | show 🗑
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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. | show 🗑
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show | Physical; Neglect; Sexual; & Emotional
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What is physical abuse? Give examples. | show 🗑
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show | False Minor injury is responsible for more reported cases of physical abuse.
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show | False Major physical abuse causes more deaths
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T/F Each state determines what to report as a major vs minor abuse? | show 🗑
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What are the Major Types of Abuse? | show 🗑
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___ is the failure to provide for the child's basic physical, educational, and emotional needs? | show 🗑
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show | 6-9 yrs old and females 4x more likely to be abused than a male
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What is the most common form of child maltreatment? | show 🗑
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show | Maladaptive behaviors such as delinquency and substance abuse
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show | Fondling a child's genitals, intercourse, incest, rape, sodomy, exhibitionism, and commercial exploitation through prostitution and production of pornographic materials.
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show | 80%
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Sexaul abuse relationship is usually ____ in length? | show 🗑
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show | False Sexual abuse may also include some physical abuse to force compliance
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___ includes acts or omissions by parents or other caretakers that have caused or could cause serious behavior, cognitive, emotional, or mental disorders. | show 🗑
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show | Emotional abuse
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show | 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.
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show | 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
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show | 20s
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T/F If only one child out of 3 is being abused all the children get removed from the home. | show 🗑
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What are the child risk factors for being abused? | show 🗑
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Presence of Chronic stress; poverty (not enough $ for food); Alcoholism & durg abuse; Violence; Unemployement are all ___ risk factors? | show 🗑
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Abuse is found in ___ educational, social, racial, cultural, religious, and economic boundries? | show 🗑
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show | Failure to Thrive; Malnutrition; Unclean, poor personal hygiene; Inappropriate dress; Frequent injuries from lack of supervision; Evidence of poor health care
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show | Passive, dull behaviors; Self-stimulating behaviors; Excessive school absences; Drug or alcohol abuse; and Vandalism or shoplifting
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What are the 7 signs of physical abuse? | show 🗑
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show | rulers; belts; sticks
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show | various stages of healing
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What do you want to look for if a child has burns? | show 🗑
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show | True. Still do until we Dx the problem.
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3/4 of child abuse cases involve areas of ___,___,___, & ___? | show 🗑
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show | mouth injuries
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___ have some respnsibilities toreport suspicious injuries as any other health care professional? | show 🗑
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show | 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.
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show | Is the story consisten often will spearate parents to see if they tell same story or ask the parents more than once.
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Lacerations and abrasions particularly occur on ______.....? | show 🗑
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show | Abdominal injury is the second cause of death with abuse injuries
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show | shock
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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 ___.... | show 🗑
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show | may display affection and friendliness with no sign of age appropriate separation anxiety; Withdrawal or aggressive behavior to seek attention.
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T/F A red flag of physical abuse is when you start an IV and their is no pain response from the child. | show 🗑
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Waht is shaken baby syndrome? | show 🗑
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what is the #1 cause of childhood death? | show 🗑
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show | Failure to Thrive & developmental delays; feeding problems; Sleep disorder; and enuresis. Make sure you rule out Organic FTT 1st.
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show | Bed wetting
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show | emotional abuse and neglect
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show | sexual abuse
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show | sexual abuse
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show | sexual abuse
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Pain on urinating, itching, swelling of the genital area, recuurent UTI, penile discharge,STD, and Pregnancy are all physical signs of ___? | show 🗑
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show | 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.
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decrease grades, depression; sudden onset ____ & fear, _____ changes are all behavioral signs of sexual abuse? | show 🗑
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What are some behaviors of the sexual abuser that they exhibit? | show 🗑
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show | 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
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If a parent is preoccupied with own needs and has inappropriate emotional response they are exhibiting? | show 🗑
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show | MSBP refers to an illness that one person fabricates or induces into another person.
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Is the child diagnosed with MSBP? | show 🗑
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MSBP-common conditions produced are ___ or ___ caused by suffocating the child? | show 🗑
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MSBP-Bleeding is commonly caused by adding ___ to urine and presenting a ___ Hx? | show 🗑
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show | Chronic poisoning of the child and the administration of substnaces to cause diarrhea, Vomiting, fever, & rash are all common MSBP symptoms
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show | Division of family services
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In KS where do you report suspected abuse? | show 🗑
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show | False they are required to mandatory report
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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 | show 🗑
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Who do you call if you are in the hospital? | show 🗑
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show | 1.Protectthe child from further abuse 2. Family support 3. Support of non-abusive parent or family member
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Referrals are investigated by ___ welfare departments and a ____ investigates; based on their findings the child may be ___ or ___? | show 🗑
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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. | show 🗑
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show | Be a role model for parents; encourage child's relationship with parents; Establish a therapeutic relationship with parents
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How can you establish a therapeutic relationship with parents of an abused child? | show 🗑
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What are 3 ways you can support a non-abusive parent or family member? | show 🗑
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What do you want to do for an abused child when they are being discharged from the hospital? | show 🗑
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Professional counseling of both the abuser & victim; Anger control; Education in childrearing techniques; early identification of high risk populations are all prevention measures for ___? | show 🗑
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show | primiparas,teen-age, unmarried, & low-socioeconomic status as well as NICU babies
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What can you do to prevent sexual abuse? | show 🗑
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show | abuse
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show | provides help to parents who have abused or are afraid of abusing their children
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What is parent's united internatioonal inc? | show 🗑
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show | Offers counselin, support services, and education for abused children and families
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cgwayland
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