A nurse is caring for a child who has been admitted to the hospital for severe malnutrition and dehydration. The nurse learns that the child's parents are unemployed and homeless. The nurse suspects that the child is a victim of:

Physical abuse

Sexual abuse

Emotional abuse

Neglect

Answer and Explanation

The Correct Answer is D

Choice A Reason: Physical abuse is the intentional use of physical force against a child that results in or has a high likelihood of resulting in harm to the child’s health, survival, development, or dignity. Examples include hitting, kicking, shaking, burning, or poisoning a child. Severe malnutrition and dehydration are not specific signs of physical abuse, although they may be present in some cases.

Choice B Reason: Sexual abuse is the involvement of a child in sexual activity that he or she does not fully comprehend, is unable to give informed consent to, or for which the child is not developmentally prepared and cannot give consent. Examples include fondling, penetration, exposure to pornography, or prostitution of a child. Severe malnutrition and dehydration are not signs of sexual abuse, although they may affect the child's sexual health and development.

Choice C Reason: Emotional or psychological abuse is the intentional or unintentional acts or omissions that cause or have a high probability of causing harm to a child’s emotional development or self-esteem. Examples include humiliation, threats, isolation, rejection, or belittling a child. Severe malnutrition and dehydration are not signs of emotional abuse, although they may affect the child's mental health and well-being.

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Correct Answer is D

Explanation

The correct answer is D. Neglect is the failure to provide for a child’s basic physical, emotional, educational, or medical needs. Examples include inadequate food, clothing, shelter, supervision, affection, education, or health care for a child. Failure to thrive is a condition characterized by poor growth and development due to inadequate nutrition and stimulation. It can be caused by neglect as well as other factors such as organic diseases or genetic disorders. Frequent infections and social withdrawal are also signs of neglect.

Choice A Reason: Physical abuse is the intentional use of physical force against a child that results in or has a high likelihood of resulting in harm to the child’s health, survival, development, or dignity. Examples include hitting, kicking, shaking, burning, or poisoning a child. Failure to thrive is not a specific sign of physical abuse, although it may be present in some cases.

Choice B Reason: Sexual abuse is the involvement of a child in sexual activity that he or she does not fully comprehend, is unable to give informed consent to, or for which the child is not developmentally prepared and cannot give consent. Examples include fondling, penetration, exposure to pornography, or prostitution of a child. Failure to thrive is not a sign of sexual abuse, although they may affect the child's sexual health and development.

Choice C Reason: Emotional or psychological abuse is the intentional or unintentional acts or omissions that cause or have a high probability of causing harm to a child’s emotional development or self-esteem. Examples include humiliation, threats, isolation, rejection, or belittling a child. Failure to thrive is not a sign of emotional abuse, although it may affect the child's mental health and well-being.

A. Difficulty walking or sitting B. Frequent urinary tract infections C. Changes in behavior or mood D. All of the above

Correct Answer is D

Explanation

The correct answer is D. All of the above are common indicators of sexual abuse in children.

Choice A Reason: Difficulty walking or sitting may indicate that the child has been subjected to genital trauma or anal penetration.

Choice B Reason: Frequent urinary tract infections may indicate that the child has been exposed to sexually transmitted infections or has poor hygiene due to lack of care or supervision.

Choice C Reason: Changes in behavior or mood may indicate that the child is experiencing fear, anxiety, depression, anger, guilt, shame, or confusion as a result of the sexual abuse.

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A nurse is caring for a child who has been admitted to the hospital for severe malnutrition and dehydration. The nurse learns that the child's parents are unemployed and homeless. The nurse suspects that the child is a victim of:

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Correct Answer is D

Explanation

A nurse is providing education to a group of school teachers on how to identify and report suspected cases of child maltreatment. The nurse explains that some of the common indicators of sexual abuse in children are:

Correct Answer is D

Explanation

A nurse is assessing a child who has been brought to the emergency department by his mother. The nurse notices multiple bruises on the child's arms and legs, some of which are in different stages of healing. The nurse suspects that the child is a victim of:

A nurse is educating a group of parents about the risk factors and consequences of child abuse and neglect. Which of the following statements by the parents indicate a need for further teaching? (Select all that apply.)

A nurse is educating a group of parents about the types and signs of child maltreatment. The nurse asks the parents to select all that apply from the following statements:

A nurse is conducting a home visit for a family that has a history of child maltreatment. The nurse observes that the house is cluttered and dirty, the refrigerator is empty, and the parents are arguing loudly in front of their children. The nurse should document this as an example of:

A nurse is counseling a teenage girl who has disclosed that she was sexually abused by her uncle when she was younger. The nurse should assess the girl for possible signs and symptoms of:

A nurse is caring for a child who has been admitted to the hospital for severe malnutrition and dehydration. The nurse learns that the child's parents are unemployed and homeless. The nurse suspects that the child is a victim of: