Ch.26 Test Bank The Abused Child Palmer - Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack by Luanne Linnard Palmer. DOCX document preview.
Chapter 26: The Abused Child
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. What is the responsibility of a mandatory reporter?
1) | To report actual child abuse to the legal authorities |
2) | To report actual or suspected child abuse to the legal authorities |
3) | To investigate suspected child abuse |
4) | To provide evidence of child abuse to the legal authorities |
____ 2. The nurse is educating the staff at the clinic about child abuse. Which of the following should the nurse include as an example of an act of omission?
1) | A parent calling his or her child stupid |
2) | A parent burning his or her child with a cigarette |
3) | A parent who can’t provide enough food for his or her child |
4) | A parent who sexually abuses his or her child |
____ 3. Which of the following is not a risk factor for being an abusive parent?
1) | Expecting a very young child to behave outside the child’s age |
2) | Expecting a young child to perform chores beyond the child’s physical ability |
3) | Expecting a young child to perform chores beyond the child’s cognitive development |
4) | Expecting a young child to behave at the child’s development level |
____ 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 |
____ 5. Which of the following is an example of emotional abuse?
1) | Failing to provide medical care for a child |
2) | Blaming a child when something goes wrong |
3) | Shaking an infant when the infant cries |
4) | Depriving a child of food |
____ 6. The nurse is assessing a child suspected of being abused and notes that she has signs of a urinary tract infection (UTI). What type of abuse does the nurse suspect?
1) | Sexual abuse |
2) | Emotional abuse |
3) | Physical abuse |
4) | Neglect |
____ 7. What is the nurse’s priority action if Munchausen’s syndrome by proxy (MSBP) is suspected?
1) | Call the police. |
2) | Request a consultation from a social worker. |
3) | Request a consultation from occupational therapy. |
4) | Ask the physician to prescribe antianxiety medication. |
____ 8. The nurse is talking to the mother of a toddler about her frustrations with parenting. Which recommendation should the nurse make regarding positive parenting methods?
1) | Discipline your child as soon as the child misbehaves. |
2) | Give the child more chores to do when the child misbehaves. |
3) | Raise your voice so that the child knows you’re serious. |
4) | Match discipline techniques with the child’s developmental stage. |
____ 9. What is the nurse’s priority action in the care and protection of a child who has been a victim of child abuse?
1) | Stabilization |
2) | History taking |
3) | Collection of laboratory specimens |
4) | Securing of photographs |
____ 10. The process in which any evidence and/or photographs must be carefully labeled and kept with the nurse in plain or in a secured location until turned over to law enforcement is known as which of the following?
1) | Mandatory reporting |
2) | Chain of custody |
3) | Acts of commission |
4) | Nursing care plan |
____ 11. What type of fracture is often associated with child abuse?
1) | Greenstick fracture |
2) | Hairline fracture |
3) | Spiral fracture |
4) | Buckle fracture |
____ 12. Which of the following children would be at highest risk of being trafficked?
1) | A 3-year-old girl who lives with her grandparents |
2) | A 12-year-old girl living with a single mother |
3) | A 13-year-old LGBT boy living with supportive parents |
4) | A 14-year-old girl who ran away from home |
____ 13. A teen mother brings her infant in for a 6-month well appointment. Which finding would cause the nurse to suspect abuse?
1) | The mother states that she is very tired. |
2) | The infant cries when the nurse holds her. |
3) | The infant appears lethargic. |
4) | The infant smiles when the nurse plays with her. |
____ 14. Nurses are mandatory reporters and are required to report suspected abuse. Who is responsible for determining who caused the abuse?
1) | Childcare providers |
2) | Health-care providers |
3) | Child Protective Services |
4) | Security guards |
____ 15. What is the law that offers evaluation, technical assistance, data collection, and supporting research as well as minimal definitions of child neglect and child abuse?
1) | The Trafficking Victims Protection Act |
2) | The Child Abuse Prevention and Treatment Act (CAPTA) |
3) | The Truth in Domain Names Act (TDNA) |
4) | The PROTECT Act |
____ 16. Which of the following situations may be defined as unintentional abuse or injury?
1) | A parent who shakes his or her infant |
2) | A parent who makes fun of his or her child |
3) | A parent who does not have a safety gate blocking the stairs |
4) | A parent who ignores his or her child |
____ 17. Which environmental influence should the nurse include when assessing a child’s risk for abuse?
1) | A history of cruelty to animals |
2) | A lack of follow-through for medical follow-up |
3) | The use of multiple health-care providers |
4) | The family frequently relocating to different geographical locations |
____ 18. Which pediatric patient is at increased risk for child abuse, necessitating a focused nursing assessment?
1) | A 3-year-old child who is toilet-trained |
2) | A 1-year-old child who was born at 41 weeks’ gestation |
3) | A 9-month-old child, born prematurely, who is diagnosed with reflux |
4) | A 10-year-old child who is active in sports and recently made the honor roll |
____ 19. Which is a priority nursing action when providing care to a school-aged child who is experiencing abuse?
1) | Meeting the child’s immediate psychological needs |
2) | Planning for the child’s long-term physical needs |
3) | Earning the trust of the child’s parents |
4) | Engaging the child in play to encourage expression of anxiety |
____ 20. The nurse suspects that a child is being sexually abused. Which nursing action is appropriate?
1) | Using a personal cell phone to collect images for documentation |
2) | Asking a novice nurse to assist in the data collection |
3) | Reviewing institutional policy regarding reporting abuse to authorities |
4) | Bathing the child after the collection of evidence |
____ 21. Which is a nursing responsibility when providing care to a child who is being abused?
1) | Filing a report with Child Protective Services |
2) | Taking photographs of the child’s injuries on a personal cell phone |
3) | Determining who is abusing the child |
4) | Washing a child who is being sexually abused upon arrival to the department |
____ 22. Which circumstance requires the nurse to obtain assistance from local law enforcement when providing care to a child who is being abused?
1) | For a child who is at risk for further abuse |
2) | For a child who is emotionally abused |
3) | For any child who is sexually abused |
4) | For any child who is physically neglected |
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 23. Which are clinical manifestations of sexual abuse that the nurse should include when assisting with the assessment process? (Select all that apply.)
1) | Radar gaze |
2) | Poor hygiene |
3) | Vaginal discharge |
4) | Positive chlamydia culture |
5) | Ecchymosis located on the inner thighs |
____ 24. Which factors associated with sexual abuse should the nurse include in an educational session regarding this topic? (Select all that apply.)
1) | Anyone can be an abuser. |
2) | The middle daughter is often the victim. |
3) | Male victims are less likely to report the abuse. |
4) | Pedophiles often choose to work closely with children. |
5) | The perpetrator is typically someone the family does not know. |
____ 25. Which factors associated with Munchausen’s syndrome by proxy should the nurse include in an educational session regarding this topic? (Select all that apply.)
1) | The child is usually under the age of 10 years. |
2) | The child often displays symptoms during the hospitalization. |
3) | The child has had multiple hospitalizations in the medical history. |
4) | The perpetrator is usually the father with some knowledge of health care. |
5) | The claimed history is not supported by evidence found by health-care providers. |
Chapter 26: The Abused Child
Document Information
Connected Book
Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack
By Luanne Linnard Palmer
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