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CSON Module 5 Exam 4 > Child Maltreatment > Flashcards

Child Maltreatment Flashcards

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1
Q

What are the seven types of abuse?

A
  • Neglectful supervision
  • Physical abuse
  • Sexual abuse
  • Physical neglect
  • Medical neglect
  • Emotional neglect
  • Other
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2
Q

Is there an exact number of abused children in the U.S.?

A

No, many cases are not recognized or reported

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3
Q

What are the four types of child maltreatment?

A
  • Neglect
  • Emotional abuse/neglect
  • Physical abuse
  • Sexual abuse
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4
Q

What are a few signs of child abuse?

A
  • Sudden changes in behavior or school performance
  • Has not received help for physical or medical problems
  • Has learning problems or difficulty concentration
  • Is always watchful
  • Lacks adult supervision
  • Comes to school early, stays late, and does not want to go home
  • Is overly compliant
  • Is reluctant to be around a particular person
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5
Q

What is defined as physical neglect?

A

Deprivation or necessities

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6
Q

What necessities is a person often deprived of?

A
  • Food
  • Clothing
  • Shelter
  • Supervision
  • Medical care
  • Education
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7
Q

What are a few signs of physical neglect?

A
  • Frequently absent form school
  • Begs or steals food or money
  • Lacks medical or dental care, immunizations, or glasses
  • Consistently dirty and has body odor
  • Lacks sufficient clothing for the weather
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8
Q

What are the two forms of emotional maltreatment?

A

Emotional neglect (failure) and emotional abuse (deliberate)

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9
Q

Define emotional neglect.

A

Failure to meet the needs of affection, attention, and emotional nurturance

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10
Q

Define emotional abuse.

A

Deliberate attempt to destroy or significantly impair a child’s self-esteem or competence

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11
Q

What are the different types of emotional abuse?

A
  • Rejecting
  • Isolating
  • Terrorizing
  • Ignoring
  • Verbally assaulting
  • Overpressuring the child
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12
Q

Define physical maltreatment.

A

Inappropriate excessive, and/or inconsistent corporal punishment causing severe or frequent injury

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13
Q

What is the rule of thumb for parents who believe in spanking as a form of discipline?

A

They should only sue an open hand, and only on the butt

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14
Q

What can injury from abuse occur from?

A
  • Punching
  • Beating
  • Shaking
  • Kicking
  • Biting
  • Throwing
  • Burning
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15
Q

What can injury from abuse result in?

A
  • Bruises
  • Bites
  • Burns
  • Lacerations
  • Pinch marks
  • Swelling
  • Tenderness
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16
Q

Define sexual abuse.

A

Persuading any child to engage in, or assisting another person to engage in, sexual conduct or simulation of sexual contact

17
Q

What does sexual abuse include?

A
  • Rape
  • Molestation
  • Prostitution
  • Sexual exploitation
  • Incest
18
Q

Define incest.

A

Between family members

19
Q

Define molestation.

A

Touching, fondling, kissing, masturbation, oral sex

20
Q

Define exhibitionism.

A

Indecent exposure by an adult man to kids/women

21
Q

Define pornography.

A

Photographing sexual acts involving children

22
Q

Define child prostitution.

A

Involving children in sex acts for profit

23
Q

Define pedophilia.

A

Preference of an adult for prepubertal children as a means of achieving sexual excitement

24
Q

What is a typical abuser of a sexual abuse case characterized as?

A

Male who the victim knows (can be anyone however including the women and siblings)
Can be either family, acquaintance, or stranger

25
Q

What are the methods to pressure children into sexual abuse?

A
  • Children are offered gifts or privileges
  • The child is told that it is “okay to do”
  • They may meet the child’s need for love and affection
  • Pressures them into secrecy
  • The offender plays on the child’s fear (of punishment, repercussions, and abandonment)
26
Q

What are a few physical signs and symptoms of sexual abuse?

A
  • Injury to/discharge form genitalia
  • Painful urination
  • Constipation or stool incontinence
  • Sexually transmitted infections
  • Difficulty walking or sitting
  • Pregnancy
27
Q

What are a few emotional/psychological signs and symptoms?

A
  • Sexual comments, behaviors, or play
  • Regressive behavior (bed wetting)
  • Personality change (withdrawn)
  • May resist in removing clothes for exam
  • Phobias (dark strangers, leaving the house)
  • Reports nightmares
  • Sudden change in appetite
  • Attaches quickly to strangers
28
Q

What are a few contributing factors for child maltreatment?

A
  • Child
  • Parent
  • Environmental
  • Exact cause unknown
29
Q

What are common characteristics of the child of child maltreatment?

A

Children unintentionally contribute.
Maybe related to:
• Difficult temperament
• Ordinal position/birth order-first born
• Age
• Prematurity, behavioral disorder, unwanted pregnancy, hyperactive, or has a physical disability or chronic illness
• Usually one child is the victim of abuse
• May be in a difficult developmental stage
-colic
-potty training
-teenagers
• Removal often places other siblings at risk

30
Q

What are a few parental characteristics related to child maltreatment?

A
  • History of abuse/neglect “parenting imprint”
  • Difficulty controlling aggression
  • Substance abuse
  • Inadequate support systems
  • Usually one parent that is the abuser, the other permits
31
Q

Define parenting imprint.

A

The concept that the way you were raised a disciplined as a child can leave a lasting imprint on you and affect how you parents

32
Q

What are a few parental related factors to child maltreatment?

A

• Marital problems
• Adolescent parents-young
• Inadequate knowledge of child rearing/inappropriate or unrealistic expectations for child’s developmental level
(anticipatory guidance is important to these parents-know what to anticipate at each age)

33
Q

What are a few environmental contributors to child maltreatment?

A
  • Chronic stress
  • Poverty
  • Unemployment
  • Poor housing/crowded living conditions
  • Frequent relocation
34
Q

What assessment findings might you see in a patient with abuse or maltreatment?

A

History:
• Delay in seeking medical attention
• Going to different urgent care clinics or emergency rooms
• No history to explain the injuries or history changes with repetition or conflicting stories about the accident
• Injury is not consistent with history
• Injury is inconsistent with child’s developmental abilities

35
Q

Define a metaphyseal fracture.

A

Results from a twisting, pulling, or yanking

36
Q

Define a spiral fracture.

A

Results from a twisting or pulling

37
Q

What is the second most common cause of death in child abuse cases?

A

Abdominal injuries

38
Q

What is the most common cause of death in child abuse cases?

A

Head injuries

39
Q

What can you do to reduce abuse related to the triggers for shaken baby syndrome?

A

Anticipatory guidance

CSON Module 5 Exam 4 (5 decks)

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