ENA Child and Elder Maltreatment

Which type of neglect is defined as inadequate supervision and failure to adequately provide for the child's safety and physical and emotional needs? A. Medical B. Physical C. Educational D. Emotional

B

Which action is considered an act of omission? A. Exposure to violent environments B. Exploitation C. Psychological abuse D. Sexual abuse

A

Which approach should the nurse take when interacting with a caregiver of a child with suspected maltreatment? A. Convey genuine concern and understanding. B. Ask questions that require yes or no answers. C. Agree with the caregiver's statements to obtain more information. D. Document the details of the conversation by paraphrasing.

A

Which disorder can mimic pediatric sexual abuse? A. Straddle injury B. Vaginal tear C. Pelvic inflammatory disease D. Genital warts

A

Which finding is expected in a child with suspected factitious disorder by proxy? A. Illness unresponsive to treatment B. Inattentive caregiver C. Close correlation of findings with history D. Signs and symptoms that occur once the child is separated from the caregiver

A

Which statement accurately describes testifying in court about child maltreatment? A. Accurate, clear, and concise documentation is necessary. B. Physician testimony is considered hearsay. C. Nurses should testify using anecdotal notes taken during the visit. D. Law enforcement personnel are usually the first professionals to be aware of maltreatment.

A

Which term defines an individual, age 18 years or older, who cannot perform or obtain services to meet essential human needs? A. Dependent adult B. Elder C. Patient suffering from neglect D. Victim of a personal rights violation

A

Preventing a victim from getting or keeping a job is an example of which type of abuse? A. Psychological B. Economic C. Physical D. Emotional

B

What factor has caused an increase in elder abuse? A. Increasing cultural diversity due to increased immigration B. Increasing life span of the average person C. Improving socioeconomic status of a community D. Increasing costs of health care

B

Which behavior is most characteristic of a child who is physically abused? A. Begging for or stealing food B. Clinging to the healthcare worker rather than the caregiver C. Assuming adult responsibilities D. Exhibiting lethargy

B

Which event signals the beginning of the cycle of intimate partner violence? A. Verbal threats B. Increased anger C. Sexual abuse D. Apology

B

Which method is the most reliable for determining if a patient is the victim of intimate partner violence? A. Document your feelings related to the patient's presentation. B. Routinely ask questions about intimate partner violence. C. Have the physician determine the patient's safety. D. For safety reasons, postpone the discussion if the batterer is near.

B

Which sign in an elder or dependent adult suggests physical abuse? A. Dehydration B. Alopecia C. Poor personal hygiene D. Inadequate clothing

B

Which statement accurately reflects the reporting of suspected child abuse? A. Be aware that child abuse statutes are identical in all states. B. Provide protective custody if endangerment is a concern. C. Withhold all information about findings until law enforcement officials are present. D. Tell the family that the police were contacted because the child was abused.

B

For a child with suspected abuse, which action is the priority? A. Obtain a skeletal survey. B. Determine the reason that the injury occurred. C. Establish a trusting relationship with the child. D. Isolate the child from the caregiver.

C

Which statement accurately applies to intimate partner violence? A. It is most common among Caucasians. B. It occurs mainly in unmarried couples. C. It can occur among homosexuals. D. It can occur in stepchildren.

C

For what reason may a victim of intimate partner violence be reluctant to leave the relationship? A. The victim usually is impulsive. B. The victim is unable to participate in a nonviolent relationship. C. Family and friends may advise them to stay in the relationship. D. The batterer is more violent when they discuss terminating the relationship.

D

Which factor contributes to a child's failure to thrive? A. Multiple bruising B. Excessive absenteeism from school C. Enuresis D. Parental depression

D

Which type of abuse is defined as a repeated pattern of damaging interactions between the caregiver(s) and the child that becomes typical of the relationship? A. Failure to thrive B. Physical abuse C. Factitious disorder by proxy D. Emotional abuse

D

Which type of information is the most reliable for identifying the potential victims of child maltreatment? A. Appropriate behavior around staff members B. Events causing the present injury C. Information provided by the caregiver D. History and physical data

D

Which sign in an elder or dependent adult suggests neglect rather than physical abuse? A. Pressure ulcers B. Untreated injuries in various stages of healing C. Whiplash injuries D. Itching in the genital area

a

According to the Tanner stages of secondary sex characteristics, which finding is characteristic of the highest level of breast development? A. The papillae are elevated. B. The breasts and papillae are elevated as a small mound and the areolar diameter is increased. C. The breasts and areolae are enlarged with no contour separation. D. The areolae and papillae form a secondary mound.

b

Which attribute in a child increases the risk of maltreatment? A. Postterm delivery B. Chronic illness C. Substance abuse D. A parental history of abuse

b

Which question is specific to determining if elder maltreatment is a threat? A. Do you feel safe where you live? B. Do you have frequent disagreements with your caregiver? C. Do you need help taking care of yourself? D. Who prepares your meals?

b

Which finding is the primary complaint of a sexually abused pediatric patient brought to the emergency department? A. Moodiness B. Poor sleep habits C. Anogenital abnormalities D. Weight loss

c

Which form of elder maltreatment is the most common? A. Financial exploitation B. Psychological (emotional) abuse C. Caregiver neglect D. Physical abuse

c

Men from which ethnic group are most likely to be victims of intimate partner violence? A. Caucasian B. African American C. Hispanic D. Native American

d

Which approach should the nurse take when caring for a female victim of intimate partner violence? A. Assure her that she will be in no danger if she decides to leave the relationship. B. Inform the victim that she may be killed if she returns to the relationship. C. Question her decision not to leave the abusive environment. D. Offer reassurance that she is not to blame for the battering.

d

Which finding is expected in an infant with abusive head trauma? A. Poisoning B. Bruises in different stages of healing C. Spiral fracture of the arm D. Retinal hemorrhage

d

Which type of child maltreatment is the most prevalent? A. Emotional abuse B. Physical abuse C. Sexual abuse D. Neglect

d