Chapter 12: Parents at Risk

Test Bank

Multiple Choice

1. Which of the following is not a major category of family risk?

A. child characteristics

B. parent characteristics

C. financial characteristics

D. contextual characteristics

Learning Objective: 12-1: To list the types of risks for adequate parenting and the sources of those.

Cognitive Domain: Comprehension

Answer Location: Introduction

Difficulty Level: Easy

2. Which of the following characteristics is NOT typically included in the calculation of a parent’s socioeconomic status, or SES?

A. occupation

B. highest educational degree obtained

C. race/ethnicity

D. income

Learning Objective: 12-1: To list the types of risks for adequate parenting and the sources of those.

Cognitive Domain: Comprehension

Answer Location: Parent Characteristics

Difficulty Level: Medium

3. In the study about infants from different SES groups (Fouts et al., 2007) what was not found?

A. Infants from low SES groups were talked to less often.

B. Infants from low SES groups interacted more with relatives.

C. Infants from higher SES groups vocalized less.

D. Infants from higher SES groups received more verbal affection.

Learning Objective: 12-1: To list the types of risks for adequate parenting and the sources of those.

Cognitive Domain: Knowledge

Answer Location: Parent Characteristics

Difficulty Level: Easy

4. What percent of children live in poverty in the United States?

A. almost 15%

B. almost 20%

C. almost 25%

D. almost 30%

Learning Objective: 12-1: To list the types of risks for adequate parenting and the sources of those.

Cognitive Domain: Knowledge

Answer Location: Parents Living in Poverty

Difficulty Level: Medium

5. Research has NOT found that children raised in poverty, compared to other children, are likely to ______.

A. watch more TV

B. be read to more

C. play more video games

D. experience less parental warmth

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Knowledge

Answer Location: Parents Living in Poverty

Difficulty Level: Medium

6. Lower SES parents more frequently report the use of ______ to discipline their children than do higher SES parents.

A. withdrawal of affection

B. time-out

C. withdrawal of privileges

D. physical punishment

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Knowledge

Answer Location: Parents Living in Poverty

Difficulty Level: Easy

7. Children raised in poverty are likely to be at risk for all but which of the following?

A. becoming a teen parent

B. being maltreated

C. getting sick more often

D. having attentional problems

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Knowledge

Answer Location: Parents Living in Poverty

Difficulty Level: Medium

8. Which two groups in the United States have the highest rate of child poverty?

A. Hispanics/Latinos and African Americans

B. Hispanics/Latinos and American Indians

C. American Indians and African Americans

D. American Indians and Hispanics/Latinos

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Knowledge

Answer Location: Parents Living in Poverty

Difficulty Level: Medium

9. Which of the following statements is NOT TRUE about the extremely poor families?

A. About 11% of the world’s population live on $2/day or less.

B. They spend 2–4% of their income on alcohol and tobacco.

C. They spend 2% of their income on their children’s education.

D. There are less than half as many extremely poor families today than 30 years ago.

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Knowledge

Answer Location: Parents Living in Poverty

Difficulty Level: Hard

10. In the study by Easterbrooks and Graham (1999) comparing homeless and low-income mothers, they found that ______.A. homeless mothers did not differ from low-income mothers

B. homeless mothers had more psychological problems than the low-income mothers

C. only low-income mothers offered warm, affectionate parenting

D. the groups had very different problems

Learning Objective: 12-1: To list the types of risks for adequate parenting and the sources of those.

Cognitive Domain: Knowledge

Answer Location: Parents Living in Poverty

Difficulty Level: Medium

11. What is a source of resilience in homeless children?

A. breaking away from their parents

B. parents who maintain a negative outlook

C. high-quality parenting

D. lack of community

Learning Objective: 12-3: To summarize sources of resiliency in families.

Cognitive Domain: Knowledge

Answer Location: Parents Living in Poverty

Difficulty Level: Easy

12. Some parents who live in poverty seem to beat the odds in terms of parenting behaviors. That is, they parent in ways which counteract, or at least buffer, their children from some of the potentially harmful influences. Which of the following actions are taken by these effective parents?

A. heighten their commitment to their own self-interests

B. modify their parenting practices to isolate their children

C. seek out resources and opportunities for their children

D. understand the value of learning from negative influences

Learning Objective: To summarize sources of resiliency in families

Cognitive Domain: Knowledge

Answer Location: Parents Living in Poverty

Difficulty Level: Medium

13. There is evidence that the longer the children are living as homeless, the more ______ symptoms they show.

A. externalizing

B. inhibited

C. extroverted

D. internalizing

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Knowledge

Answer Location: Parents Living in Poverty

Difficulty Level: Medium

14. Lilliana and her mother are homeless. Even though their time at the shelter has been stressful, Lilliana is doing well in school. What is the likely reason for her resilience?

A. Her mother’s warmth, responsiveness, and positive expectations.

B. Lilliana’s refusal to associate with any of the other shelter kids.

C. Her mother’s use of rigid structure and harsh discipline techniques.

D. Lilliana’s increased anxiety which acts to heighten her focus.

Learning Objective: 12-3: To summarize sources of resiliency in families.

Cognitive Domain: Application

Answer Location: Parents Living in Poverty

Difficulty Level: Medium

15. Researchers have found that ______ can protect the child against some of the negative effects of unstable living conditions.

A. high-quality parenting

B. moderate synchrony

C. minimal expectations

D. authoritarian parenting

Learning Objective: 12-3: To summarize sources of resiliency in families.

Cognitive Domain: Knowledge

Answer Location: Parents Living in Poverty

Difficulty Level: Easy

16. Madison’s family is considered affluent. That means her parents’ income is at least ______ the median income for the United States.

A. 0.5 times

B. 1.5 times

C. 2 times

D. 3 times

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Application

Answer Location: Parents With High Incomes

Difficulty Level: Medium

17. Which of the following statements best describes the relation between children in affluent and poor families in the United States?

A. Children of affluent families and children raised in poverty perceive their parents as emotionally and physically unavailable to the same extent.

B. Children of affluent families perceive their parents as emotionally, but not physically unavailable.

C. Children of affluent families perceive their parents as physically, but not emotionally unavailable.

D. Unlike children raised in poverty, children of affluent families perceive their parents as emotionally and physically unavailable.

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Knowledge

Answer Location: Parents With High Incomes

Difficulty Level: Medium

18. Ruby expects her son to do well in school. When he makes all As on his report card she rewards him with money. By doing so, she is displaying ______.

A. affluence

B. capitalism

C. materialism

D. generosity

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Knowledge

Answer Location: Parents With High Incomes

Difficulty Level: Easy

19. William is struggling with anxiety and depression. His parents are affluent and have easy access to mental health-care providers. According to your text, why might William’s parents hesitate to get him the help he needs?

A. They think William is faking his anxiety.

B. They want to maintain a veneer of well-being.

C. They are too close to the situation to see the problem.

D. They want to model healthy behavior first.

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Comprehension

Answer Location: Parents With High Incomes

Difficulty Level: Medium

20. Susanna is reared in an affluent family that greatly values materialism and consumerism. What would you predict of Susanna?

A. She is likely to be popular.

B. She is likely to be unhappy.

C. She is likely to be happy.

D. She is likely to be socially isolated.

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Application

Answer Location: Parents With High Incomes

Difficulty Level: Easy

21. What is an example of a conditional material reward?

A. giving a child a stereo that has been reconditioned

B. giving a child a present for her birthday

C. giving a child cash for getting a good grade

D. giving a child new clothing for no reason

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Application

Answer Location: Parents With High Incomes

Difficulty Level: Easy

22. Willa is only 10 years old, but her mother talks with her often about how she is lonely due to her husband’s heavy workload. By making Willa her emotional confidant, Willa’s mother is causing the ______ of her child.

A. healthy maturation

B. parentification

C. the childhood isolation

D. the reclassification

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Comprehension

Answer Location: Parents With High Incomes

Difficulty Level: Medium

23. Which item is NOT assessed on the ACE questionnaire?

A. Whether the respondent was physically abused.

B. Whether the respondent was psychologically maltreated.

C. Whether mother or stepmother was physically abused.

D. Whether mother or stepmother was psychologically maltreated.

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Knowledge

Answer Location: Parents With Adverse Childhood Histories

Difficulty Level: Easy

24. Which item on the ACE survey is most common?

A. sexual abuse

B. physical abuse

C. parental separation or divorce

D. mental health problems in the family

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Knowledge

Answer Location: Parents With Adverse Childhood Histories

Difficulty Level: Easy

25. Childhood experiences can be a strong influence on adult functioning. The Adverse Childhood Experiences study showed that adverse early experiences affect adult function in which of the following ways?A. A single adverse experience raised the risk of problems to the highest level measured.

B. The greater the number of adverse experiences, the greater the risk for problems in adulthood.

C. There was no proof that adverse experiences during youth affected adult function in any way.

D. Although 90% of people had an adverse experience, only 10% were affected.

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Knowledge

Answer Location: Parents With Adverse Childhood Histories

Difficulty Level: Easy

26. Parents with higher ACE scores are likely to exhibit all but which of these?

A. be stressed

B. use physical punishment

C. have physical problems

D. react against their adversities by engaging in positive parenting

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Knowledge

Answer Location: Parents With Adverse Childhood Histories

Difficulty Level: Easy

27. Which of the following is NOT a commonly studied mental health problem in parents?

A. depression

B. post-traumatic stress

C. antisocial personality disorder

D. schizophrenia

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Knowledge

Answer Location: Parents With Serious Mental Illness or Substance Abuse Problems

Difficulty Level: Medium

28. Mothers who use opioids have been found to be ______.

A. more anxious

B. more irritable

C. interested in their children

D. invested in work

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Knowledge

Answer Location: Parents With Serious Mental Illness or Substance Abuse Problems

Difficulty Level: Medium

29. There is a long history of blaming mothers for causing problems in their children. For example, autism--according to male psychiatrists in the 1950s--was the result of mothers who were ______.

A. close with their sons and distant with their husbands

B. distant and domineering with their children

C. cold and unloving like refrigerators

D. overly communicative with unrealistic expectations

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Knowledge

Answer Location: Parents With Serious Mental Illness or Substance Abuse Problems

Difficulty Level: Easy

30. A father is both clinically depressed and an alcoholic. Which term is the most appropriate for him?

A. co-occurring problems

B. comorbid

C. polymorbid

D. multiproblem

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Comprehension

Answer Location: Parents With Serious Mental Illness or Substance Abuse Problems

Difficulty Level: Medium

31. The psychological problem that has attracted the most attention is ______. This problem is fairly common; about one third of women have experienced it at some time during their lives.

A. anxiety

B. depression

C. bi-polar disorder

D. ADHD

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Knowledge

Answer Location: Parents With Serious Mental Illness or Substance Abuse Problems

Difficulty Level: Medium

32. Which of the following statements best describes the relation between parental mental health problems and children’s behavior problems?

A. There is no association between parents’ mental health problems and children’s behavior problems.

B. Children of parents with mental health problems have only a slightly elevated chance of behavioral issues compared to children of parents without mental health problems.

C. Children of parents with mental health problems have a greater chance of behavioral issues than do children of parents without mental health problems.

D. Because children of parents with mental health problems will also have mental health problems, behavior problems will follow.

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Knowledge

Answer Location: Parents With Serious Mental Illness or Substance Abuse Problems

Difficulty Level: Medium

33. It is estimated that as many as ______ of all children in the United States have a parent with a substance use disorder.

A. 10%

B. 12.5%

C. 14%

D. 16.5%

Learning Objective: 12-1: To list the types of risks for adequate parenting and the sources of those.

Cognitive Domain: Knowledge

Answer Location: Parents With Serious Mental Illness or Substance Abuse Problems

Difficulty Level: Medium

34. For children with ______, physical characteristics are visible at birth. However, the severity of the cognitive impairment is not known at birth and can vary from mild learning disabilities to, in rare cases, severe mental retardation.

A. Down syndrome

B. Cerebral Palsy

C. Asperger’s syndrome

D. Pervasive Developmental disorder

Learning Objective: 12-1: To list the types of risks for adequate parenting and the sources of those.

Cognitive Domain: Knowledge

Answer Location: Parents of Children With Special Needs

Difficulty Level: Easy

35. Parenting a child with serious developmental disorders is typically more ______ compared with rearing typically developing children.

A. playful

B. relaxing

C. challenging

D. sad

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Comprehension

Answer Location: Parents of Children With Special Needs

Difficulty Level: Medium

36. Which of the following statements is a good example of “parental self-stigma?”

A. “My drinking alcohol during pregnancy caused my child’s problem.”

B. “I am embarrassed to be seen in public with my child who is a little rowdy.”

C. “I wish I never had children.”

D. “My competent parenting resulted in my child’s problem.”

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Application

Answer Location: Parents of Children With Special Needs

Difficulty Level: Hard

37. Some parents of children with developmental disabilities are able to ______ and have a positive, affirming parenting experience.

A. hold on to their prior expectations about their child

B. detach from their child with disabilities

C. deny the disabilities that their child faces

D. modify their prior expectations about their child

Learning Objective: 12-3: To summarize sources of resiliency in families.

Cognitive Domain: Comprehension

Answer Location: Parents of Children With Special Needs

Difficulty Level: Medium

38. The parent of a child with Down’s syndrome in Box 12.7 writes about all EXCEPT ______.

A. rejecting the diagnosis

B. grieving

C. being transformed

D. changing priorities

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Comprehension

Answer Location: Parents of Children With Special Needs

Difficulty Level: Medium

39. Children who witness violence in the home are at high risk for problems. Boys are especially at risk for exhibiting ______ problems.

A. internalizing

B. substance abuse

C. externalizing

D. defensive

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Knowledge

Answer Location: Parents in Violent Intimate Partner Relationships, page 327

Difficulty Level: Easy

40. Finkelhor and his colleagues (2015) estimated that ______ of American children witnessed some form of family violence in the past year.

A. 8.2%

B. 10.3%

C. 12.5%

D. 15.2%

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Knowledge

Answer Location: Parents in Violent Intimate Partner Relationships

Difficulty Level: Easy

41. Men who engage in intimate partner violence are most likely also ______.A. permissive

B. depressed

C. angry

D. physically abusive to their children

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Comprehension

Answer Location: Parents in Violent Intimate Partner Relationships

Difficulty Level: Medium

42. In families characterized by intimate partner violence, which is the most likely child outcome, according to the meta-analysis by Evans et al. (2008)?

A. Girls are likely to exhibit internalizing problems.

B. Girls are likely to exhibit externalizing problems.

C. Boys are likely to exhibit internalizing problems.

D. Boys are likely to exhibit externalizing problems.

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Knowledge

Answer Location: Parents in Violent Intimate Partner Relationships

Difficulty Level: Medium

43. Which of the following is considered to be a problem when a parent is incarcerated?

A. stress on the parent in prison

B. maintaining close relationships

C. the child modeling the incarcerated parent’s behavior

D. family stability

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Comprehension

Answer Location: When a Parent Is Incarcerated

Difficulty Level: Medium

44. Which of the following problems has NOT been linked to children of incarcerated parents experience?

A. insecure attachments

B. behavior problems

C. delinquency

D. dating violence

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Knowledge

Answer Location: When a Parent Is Incarcerated

Difficulty Level: Medium

45. Common mental health consequences after wars or natural disasters include ______.

A. PTSD

B. learning disability

C. externalizing problems

D. anorexia

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Knowledge

Answer Location: Parenting After Wars or Natural Disasters

Difficulty Level: Easy

46. After a calamity, adaptive parental responses include ______.

A. changing normal routines

B. being aware of signs of child trauma

C. avoiding discussion of the trauma

D. distancing themselves from children

Learning Objective: 12-3: To summarize sources of resiliency in families.

Cognitive Domain: Comprehension

Answer Location: Parenting After Wars or Natural Disasters

Difficulty Level: Medium

47. The ecological systems model suggests that after a disaster, support for parenting ______.

A. is unlikely

B. is coming, though it takes time

C. can come from multiple sources or levels

D. only comes from parents

Learning Objective: 12-3: To summarize sources of resiliency in families.

Cognitive Domain: Comprehension

Answer Location: Support for and Resilience in At-Risk Parents

Difficulty Level: Medium

48. What is NOT necessarily recommended as a way to help children postwar or disaster?

A. recognize the trauma

B. educate parents about best responses

C. remove the child from the location of the disaster

D. enroll in an intervention program

Learning Objective: 12-3: To summarize sources of resiliency in families.

Cognitive Domain: Comprehension

Answer Location: Support for and Resilience in At-Risk Parents

Difficulty Level: Medium

49. Which of the following risk categories and examples go together?

A. parent characteristics and PTSD

B. child characteristics and incarceration

C. child characteristics and Down syndrome

D. parent context and financial characteristics

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Analysis

Answer Location: Chapter Conclusions

Difficulty Level: Easy

50. Which is a source of resilience for families at risk, such as when a child is born with special needs?

A. performing a parenting intervention

B. seeking help from family, friends, and neighbors

C. working to keep and achieve original beliefs and expectations

D. isolating the family for stability

Learning Objective: 12-3: To summarize sources of resiliency in families.

Cognitive Domain: Comprehension

Answer Location: Chapter Conclusions

Difficulty Level: Easy

True/False

1. Risk factors, as they pertain to child-rearing, refer to anything that increases the likelihood of parenting problems or children’s development.

Learning Objective: 12-1: To list the types of risks for adequate parenting and the sources of those.

Cognitive Domain: Comprehension

Answer Location: Introduction

Difficulty Level: Easy

2. The four types of capital discussed in the chapter are financial, human, social, and resource.

Learning Objective: To summarize sources of resiliency in families

Cognitive Domain: Knowledge

Answer Location: Parent Characteristics

Difficulty Level: Medium

3. The poverty threshold in the United States is set at $24,339 for a two-parent family with two children.

Learning Objective: 12-1: To list the types of risks for adequate parenting and the sources of those.

Cognitive Domain: Knowledge

Answer Location: Parents Living in Poverty

Difficulty Level: Medium

4. Poverty affects parents’ stress and health but not their values and goals.

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Comprehension

Answer Location: Parents Living in Poverty

Difficulty Level: Medium

5. Youth self-perceptions are related to materialism.

Learning Objective: 12-1: To list the types of risks for adequate parenting and the sources of those.

Cognitive Domain: Comprehension

Answer Location: Parents With High Incomes

Difficulty Level: Medium

6. Susan is overly intrusive and overstimulating to her infant. It is possible that she is depressed.

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Knowledge

Answer Location: Parents With Serious Mental Illness or Substance Abuse Problems

Difficulty Level: Hard

7. About half of middle-class participants reported no adverse childhood experiences.

Learning Objective: 12-1: To list the types of risks for adequate parenting and the sources of those.

Cognitive Domain: Comprehension

Answer Location: Parents With Adverse Childhood Histories

Difficulty Level: Medium

8. It is worse for a child when a mother is incarcerated than when a father is.

Learning Objective: 12-1: To list the types of risks for adequate parenting and the sources of those.

Cognitive Domain: Comprehension

Answer Location: When a Parent Is Incarcerated

Difficulty Level: Medium

9. The trauma of seeing their parents fight is a factor for problematic behavior in children.

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Knowledge

Answer Location: Parents in Violent Intimate Partner Relationships

Difficulty Level: Medium

10. When a parent does not repeat the same pattern of parenting he or she was exposed to, it is described as “disjointedness.”

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Comprehension

Answer Location: Support for and Resilience in At-Risk Parents

Difficulty Level: Easy

Essay

1. Discuss how poverty may affect parenting. Include any mitigating factors.

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Analysis

Answer Location: Parents Living in Poverty

Difficulty Level: Medium

2. Identify four ways or mechanisms in which children may be affected by a parent’s mental illness. Which mechanism should interventions target to promote children’s well-being?

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Application

Answer Location: Parents With Serious Mental Illness or Substance Abuse Problems

Difficulty Level: Hard

3. List four ways in which a child’s serious developmental disorder may affect parenting conditions.

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Comprehension

Answer Location: Parents of Children With Special Needs

Difficulty Level: Medium

4. Children living in families where there is intimate partner abuse are at high risk for problems. List three factors that contribute to this risk.

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Comprehension

Answer Location: Parents in Violent Intimate Partner Relationships

Difficulty Level: Medium

5. In what ways is it stressful to rear a child with a developmental disability?

Learning Objective: 12-2: To describe some of the ways the risks can affect parenting and in turn children.

Cognitive Domain: Analysis

Answer Location: Parents of Children With Special Needs

Difficulty Level: Medium