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The red flags of child abuse

doi: 10.1097/01.NME.0000530587.65435.e2
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INSTRUCTIONS The red flags of child abuse

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PROVIDER ACCREDITATION

Lippincott Professional Development will award 1.0 contact hour for this continuing nursing education activity.

Lippincott Professional Development is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 1.0 contact hour. Lippincott Professional Development is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida CE Broker #50-1223.

The red flags of child abuse

GENERAL PURPOSE: To provide information about child abuse, including symptom identification, reporting, and nursing's role. LEARNING OBJECTIVES/OUTCOMES: After completing this continuing-education activity, you should be able to: 1. Identify child abuse types, symptoms, risk factors, and long-term complications. 2. Outline the nurse's role in reporting suspected child abuse.

  1. The most common type of child abuse is
    1. neglect.
    2. physical abuse.
    3. emotional abuse.
  2. If a parent's action of punching his or her child caused an injury, determining if this is physical abuse includes assessing if
    1. the intent of the action was to harm the child.
    2. the parent's action involved using an object to cause the injury.
    3. the parent directly caused the injury regardless of intent.
  3. Sexual abuse may involve behaviors or actions that include all of the following except
    1. indecent exposure.
    2. spying on a child using the bathroom.
    3. pornographic activities.
  4. When a child's basic needs, such as housing or food, aren't met, it's considered
    1. neglect.
    2. physical abuse.
    3. emotional abuse.
  5. Which of the following is considered a risk factor for child abuse?
    1. working parents
    2. single parenting
    3. grandparent caregivers
  6. An increased risk of child sexual abuse includes the presence of a
    1. young parent.
    2. premature child.
    3. nonbiological father.
  7. Fear of going home and aggressive acting out can be symptoms of
    1. neglect.
    2. emotional abuse.
    3. physical abuse.
  8. Symptoms that can be suggestive of child sexual abuse include
    1. dislocations.
    2. welts.
    3. recurrent urinary tract infections.
  9. A child with a developmental delay and seasonally inappropriate clothing is exhibiting signs and symptoms of
    1. neglect.
    2. poverty.
    3. emotional abuse.
  10. Which of the following is an unusual behavior of a parent with an injured child?
    1. concern about the injury
    2. anger
    3. plausible explanation of how the injury occurred
  11. A 2-year-old child may respond to abuse by exhibiting
    1. changes in sleep patterns.
    2. crying spells that are easily consolable.
    3. calmness when separated briefly from his or her parent.
  12. In which developmental stage are children more likely to be sexually abused?
    1. infancy
    2. school age
    3. adolescence
  13. Long-term complications of child abuse include all of the following except
    1. criminal behavior.
    2. excessive impulse control.
    3. eating disorders.
  14. As mandatory reporters of child abuse, nurses
    1. can lose their nursing license if they fail to report suspected abuse.
    2. can't incur legal consequences if they fail to report abuse.
    3. will be held liable for reporting if abuse isn't confirmed.
  15. Reporting child abuse includes notifying
    1. the child's parents.
    2. the child's pediatrician.
    3. CPS.
  16. Reasons that nurses may not report suspected child abuse include
    1. fear of losing their job if abuse isn't confirmed through investigation.
    2. the inability to distinguish discipline from abuse.
    3. no direct explanation from the child about abuse.
  17. Bias on the part of the nurse may result in nurses being less likely to report families who are
    1. poor or uninsured.
    2. members of a minority group.
    3. well dressed and seemingly friendly.
  18. When a suspected child abuse report is completed by the nurse, who should explain the reporting process to the child's parents or caregivers?
    1. the nurse filing the report
    2. law enforcement officers
    3. CPS staff
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