Safe Maternity Pediatric Nursing By Care Palmer Coats
Safe Maternity Pediatric Nursing By Care Palmer Coats
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Chapter 28: The Abused Child
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which health-care provider is mandated by law to report suspected child abuse?
| 1) | Baptist priest |
| 2) | Day-care provider |
| 3) | Basketball coach |
| 4) | Registered nurse |
____ 2. Which is the most common form of child abuse around the world that the nurse should assess for when caring for children?
| 1) | Physical |
| 2) | Emotional |
| 3) | Neglect |
| 4) | Sexual |
____ 3. Which child factor that contributes to abuse should the nurse assess for when abuse is suspected?
| 1) | Low self-esteem |
| 2) | Temperament that is demanding |
| 3) | Stress that is chronic in nature |
| 4) | Poverty-level socioeconomic status |
____ 4. Which clinical manifestation noted during a physical examination causes the nurse to suspect physical abuse?
| 1) | Traumatic alopecia |
| 2) | Extremity fractures |
| 3) | Unilateral ecchymosis of the eye |
| 4) | Weight below the 10th percentile |
Answer Section
MULTIPLE CHOICE
Chapter number and title: 28: The Abused Child
Chapter learning objective: Describe global perspectives, historical perspectives, and legal aspects of child abuse, including the development of laws aimed at protecting abused children and preventing abuse in society.
Chapter page reference: 447
Heading: Conceptual Cornerstone – Family
Integrated processes: Clinical Problem-Solving Process
Client need: Safety and Infection Control
Cognitive level: Comprehension [Understanding]
Concept: Legal
Difficulty: Easy
| Feedback | |
| 1 | Although clergy, such as a Baptist priest, is mandated to report suspected child abuse, this individual is not a health-care provider. |
| 2 | Although a day-care provider is mandated to report suspected child abuse, this individual is not a health-care provider. |
| 3 | Although a basketball coach is mandated to report suspected child abuse, this individual is not a health-care provider. |
| 4 | All persons involved with the care of the child will be held responsible in assessing and reporting any actual or suspected symptoms or signs of child abuse. These include nurses, physicians, social workers, and anyone involved with the care of the child. |
PTS: 1 CON: Legal
Chapter number and title: 28: The Abused Child
Chapter learning objective: Describe global perspectives, historical perspectives, and legal aspects of child abuse, including the development of laws aimed at protecting abused children and preventing abuse in society.
Chapter page reference: 448
Heading: Child Abuse Global Perspectives
Integrated processes: Clinical Problem-Solving Process
Client need: Safety and Infection Control
Cognitive level: Comprehension [Understanding]
Concept: Assessment; Legal
Difficulty: Easy
| Feedback | |
| 1 | Although physical abuse is a form of child abuse, this is not the most prevalent form around the world. |
| 2 | Although emotional abuse is a form of a child abuse, this is not the most prevalent form around the world. |
| 3 | Neglect is the most prevalent form of child abuse seen around the world. There are two types, physical neglect and emotional neglect. |
| 4 | Although sexual abuse is a form of child abuse, this is not the most prevalent form around the world. |
PTS: 1 CON: Assessment | Legal
Chapter number and title: 28: The Abused Child
Chapter learning objective: Analyze high-risk children and social/environmental influences in the development of child abuse.
Chapter page reference: 449
Heading: Table 28-1 Etiology of Abuse
Integrated processes: Clinical Problem-Solving Process
Client need: Psychosocial Integrity
Cognitive level: Comprehension [Understanding]
Concept: Assessment; Violence
Difficulty: Easy
| Feedback | |
| 1 | Low self-esteem is a parental, not a child, factor that often contributes to abuse. The nurse should assess the parent for low self-esteem to determine the risk for child abuse. |
| 2 | A child’s temperament, especially if demanding, is a risk factor for abuse. The nurse should assess the child’s temperament to determine the risk for child abuse. |
| 3 | Chronic stress is an environmental, not a child, factor that often contributes to abuse. The nurse should assess the family’s environment for chronic stress to determine the risk for child abuse. |
| 4 | Poverty is an environmental, not a child, factor that often contributes to abuse. The nurse should assess the family’s socioeconomic status to determine the risk for child abuse. |
PTS: 1 CON: Assessment | Violence
Chapter number and title: 28: The Abused Child
Chapter learning objective: Discuss the various types of abuse, their incidences, and their prevalence rates, and give examples of abuse scenarios in each of the developmental stages of childhood.
Chapter page reference: 450
Heading: Box 28-1 Clinical Manifestations of Abuse (Symptoms)
Integrated processes: Clinical Problem-Solving Process
Client need: Psychosocial Integrity
Cognitive level: Application [Applying]
Concept: Assessment; Violence
Difficulty: Moderate
| Feedback | |
| 1 | Traumatic hair loss (alopecia), in which hair is pulled from the scalp, is a clinical manifestation that causes the nurse to suspect physical abuse. |
| 2 | Spinal, not extremity, fractures are a clinical manifestation of physical abuse. |
| 3 | Bilateral, not unilateral, ecchymosis of the eye is a clinical manifestation of physical abuse. |
| 4 | Weight below the fifth, not the 10th, percentile is indicative of physical neglect. |
PTS: 1 CON: Assessment | Violence
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