1 - Child Maltreatment

Question 1

T/F As nurses we are one of the obligated professionals who have an obligation to report child abuse.

Answer 1

TRUE

Question 2

Professions obligated to report child abuse? (8)

Answer 2

Doctors 
Nurses
Educators & Daycare personnel
Mental health professionals
Public agency employees
Law enforcement officers 
Probation officers

Question 3

Increased reporting has led to…

Answer 3

Overwhelmed CPS system

Question 4

Professionals fail to do this 50% of the time

Answer 4

Report cases of child maltreatment

Question 5

Professionals fail to report child maltreatment RT:

Answer 5

Lack of understanding on laws
Concern 4 parents
Hesitancy (Confidentiality)
Reluctance to get involved

Question 6

Goals of Child Protective Services include these 2:

Answer 6

Preventative Services

Post-investigation Services

Question 7

Examples of preventative services? (3

Answer 7

Day care
Respite
Counselling
Parent Education

Question 8

Post investigation services include:

Answer 8

Individual & family counselling
Foster Care
Removal of children

Question 9

Systemic issues with CPS?

Answer 9

Welfare policies
Funding
Resource Allocation

Question 10

T/F Mandatory reporting laws and public education have led to decreases in reports and decreased caseworker workload.

Answer 10

FALSE - led to higher reports & workloads

Question 11

Currently we have a system that responds to _______ and not ______.

Answer 11

Allegations

Needs

Question 12

US National Strategy for Protection of Children

5 - SRRTI

Answer 12

Strengthening neighbourhoods/environments
Refocusing delivery of services (prevent/not post)
Reorient role of government (prevention-treatment)
Target societal values (cultural acceptance)
Increase knowledge base through research

Question 13

Children in the legal system face great deals of ______. Examples include:

Answer 13

STRESS
Witness
Giving testimony re family
Confrontations with abusers

Question 14

To curb stress on children there are special court room procedures including: (3)

Answer 14

CCTV
Taped interviews
Support workers

Question 15

Conviction rate of child abusers is typically low or high?

Answer 15

Low

Question 16

There are ____ social and legal costs to abusing children.

Answer 16

LOW

Question 17

Abusers often receive plea bargains, lesser time, in an effort to protect…

Answer 17

Child from appearing in court

Question 18

If a child is too fragile or under seven, the abuser is often:

Answer 18

Not prosecuted

Question 19

Cases in which abuse is severe OR repeat offender?

Answer 19

Higher chance of prosecution

Question 20

Court mandated treatment for abusers is a mixed bag because…

Answer 20

Often don’t engage in process

Question 21

Higher prosecution & conviction rates occur when a child has been:

Answer 21

Sexually Abused

Question 22

The point at which treatment of children moves from acceptable to unacceptable is largely determined by….

Answer 22

Cultural & Community Values

Question 23

Cultural differences exist in (3)

Answer 23

Child bathing
Sleeping arrangements
Neglectful behaviours

Question 24

Cultural viewpoints are often different related to: (3 - HAM)

Answer 24

Household cleanliness
Medical/Dental care for children
Adequate supervision

Question 25

T/F CPS are always culturally responsive.

Answer 25

FALSE

Question 26

Developing service adaptations to meet needs of different populations is one example of..

Answer 26

Cultural Competence

Question 27

When is sibling 'abuse' abuse?

Answer 27

Extremely severe resulting in: - Injury - Behaviours occur with excessive frequence

Question 28

Reasons for sibling abuse? (5) PPOLD

Answer 28

``` Power disparity Pressure or secrecy Outcome of interactions Developmental appropriateness Lack of parent intervention ```

Question 29

Emotional aftereffects of sibling abuse?

Answer 29

Mistrust Poor relationships (parent & child) Revictimization PTSD symptoms

Question 30

Physical aftereffects of sibling abuse?

Answer 30

Sexual dysfunction/Response Difficulties | Compulsiveness/Promiscuity

Question 31

Exposure to community violence examples?

Answer 31

Shootings Stabbings Home invasions Bullying

Question 32

Community violence significant to refugee population?

Answer 32

Gang violence Terrorism Traumatic war events

Question 33

Community violence can also occur within the...

Answer 33

Home

Question 34

Effects of community violence include?

Answer 34

PTSD | Depression, aggression, low self-esteem

Question 35

Institutional abuse can occur in what types of settings?

Answer 35

Foster/Group Homes Residential treatment centers Childcare facilities

Question 36

Institutional abuse is more or less common than other forms of mistreatment?

Answer 36

Less

Question 37

Institutional abuse is higher at the hands of...

Answer 37

Women - victims often suffer from multiple perps

Question 38

Why are women more likely to abuse in institutions?

Answer 38

Role of caregiver - more access to child in vulnerable situations

Question 39

More evidence suggests that when a father is ____ _____ in childrearing from get-go, less chance of sexual abuse.

Answer 39

Child rearing

Question 40

Parents of abused children are often referred to as

Answer 40

Secondary Victims

Question 41

T/F Most non-offending parents believe & support their children.

Answer 41

TRUE

Question 42

Parents are more supportive if...

Answer 42

Living apart from perp

Question 43

Parents are less supportive if...

Answer 43

Using substances & lacking social supports

Question 44

Parents often have ___________ reactions to disclosures of abuse

Answer 44

Traumatic

Question 45

Mothers who have a hx of CSA tend to display more...in reaxn to childs reports

Answer 45

Trauma symptoms

Question 46

Professionals who work with abused children often feel:

Answer 46

Negative emotions & reactions

Question 47

These emotions & reactions can create a...

Answer 47

Ripple effect

Question 48

Workers may feel _________ & __________ by working with an oft ostracized populaton

Answer 48

Alienated | Isolated

Question 49

Workers may also suffer: (3)

Answer 49

Vicarious traumatization Secondary traumatic stress Compassion fatigue

Question 50

Workers may find changes in self which...

Answer 50

Parallel those experience by survivors

Question 51

This term has been applied to the activities of such groups; it refers to the “activities of individuals or groups making assertions of grievances or claims with respect to some putative condition

Answer 51

Claims-Making