SUFFOLK COUNTY COMMUNITY COLLEGE
Michael J. Grant Campus at Brentwood
NUR 246
Elisa A. Mancuso, RNC, FNS, MS
Child Abuse Exam
Indicate the correct response for the following 20 questions directly on the exam.
1.
What distinguishes physical abuse from most neglectful situations?
a.
b.
c.
d.
Amount of repetition
Intent of parent
Age of child
Act of commission vs. acts of omission
2. What is not a factor in determining whether a certain form of punishment was reasonable?
a.
b.
c.
d.
3.
When assessing the impairment of emotional health, such impairment must
a.
b.
c.
d.
4.
The child’s age
The nature of the injuries
The child’s physical/mental condition
If both parents were involved in the discipline
be psychiatrically diagnosed
result in hospitalization
be attributable to the parent’s unwillingness or inability to provide care
be limited to psychological or intellectual functioning
Which of the following characteristics are most often associated with parents who abuse
their children?
a.
b.
c.
d.
Limited education and life crises
Lack of emotional support and divorced parents
Parents’ use of drugs and unrealistic expectations for their children
Parents’ ethnic background and single parenting
2
5.
Sexually abused children often
a.
b.
c.
c.
6.
According to Social Services Law, “subject of a report” refers to
a.
b.
c.
d.
7.
Perceive themselves as defective or damaged goods
Have initiated their own victimization
Demand some form of criminal intervention be taken against the offender
Do not exhibit any short or long term effects from the abuse.
the parents of the child but not a sibling
the child’s custodian/guardian or other responsible adult
a relative over the age of sixteen
anyone who abuses the child
Photographs and x-rays may be taken when
a.
b.
c.
d.
the parent is informed
the parent is informed and agrees
the mandated reporter suspects abuse/neglect
the child is under twelve years of age
8.
The definition of abuse or neglect links two elements, the parent’s conduct and
___________________________________________________.
9.
Socklike/glovelike injuries to the extremities or doughnut shape injuries to the buttocks,
is associated with what type of physical abuse? ________________________________.
10.
Chronic fatigue and the child’s use of alcohol or drugs are behavioral indicators
associated with what type of harm? __________________________________________.
11.
There are two major categories of signs or indicators in identifying abuse or neglect:
physical and ____________________________________________________________.
12.
When there is imminent danger to a child’s life or health, certain mandated reporters can
initiate what type of custody? _______________________________________________.
13.
Two legal protections that are provided to individuals who report child abuse or neglect
situations in New York State are _______________________ _____________________.
14.
When persons, officials or institutions are required to report child abuse, it is presumed
that such a report is being filed in ____________________________________________.
15.
If a mandated reporter has a reasonable cause to suspect that a child, seen in his
professional or official capacity, is being abused and fails to report, he would be subject
to what type of penalty? ___________________________________________________.
3
16.
After making an oral report on a suspected child abuse case, the mandated reporter must
also submit a written report on a New York State’s Department of Social Services form
called _________________________________________________________________.
17.
While a student, James, age 11, was disrobing in the locker room when the physical
education teacher noticed several large bruises on the student’s stomach and upper thighs.
The teacher casually asked James how he had received these injuries. The child was
evasive and anxious, and did not respond to the questions. The following week, James
cut gym class. More recently, the same teacher noticed that James had a bruise on his
face. James claimed that he had fallen but did not provide any more details. He did not
maintain any eye contact while responding to the teacher. The teacher wrote a note
requesting to meet with the parents but James refused to bring it home, claiming that he
would get in trouble.
a.
Identify one behavioral indicator of abuse or neglect in this situation
_______________________________________________________.
b.
Identify two physical indicators of abuse in this situations ___________________
_________________________________________________________________.
c.
Would you report this situation to the State Central Register? ___________
Why? _______________________________________________________
Why not? ____________________________________________________
18.
Mary, a seven year old, was taken to the hospital emergency room at 9:00pm by her
father. She was unconscious and dirty. There appeared to be faded bite marks on her
arms and lower legs. Questiond by the emergency room physician, the parent informed
the doctor that Mary had gone to sleep after coming home from school and did not get up
for dinner. He tried to wake her up but was unsuccessful. He called a cab and went
straight to the hospital. The doctor also learned that the family does not have any pets at
home.
a.
Identify one physical indicator of abuse in this situation.___________________
b.
Would you report this situation to the State Central Register? _____________
Why?__________________________________________________________
Why not? ______________________________________________________
4
19
Robert, age ten, was registered at his neighborhood school. However, he attended school
sporadically, sometimes missing as many as twenty consecutive days without any
explanations. When Robert did go to school, he was observed by the teachers to be
wearing the same clothing everyday. The clothing was dirty and often times
inappropriate for the weather. In the school cafeteria, Robert has been seen taking
uneaten food trash from the trash bin. Recently, he was examined by the school nurse
and found to have a significant hearing problem. The nurse notified the parents directly
but they have failed to respond.
a.
Identify one behavioral indicator of neglect in this situation._________________
b.
Identify two physical indicators of neglect in this situation.
_________________________________________________________________
c.
_________________________________________________________________
d.
Would you report this situation to the State Central Register?________________
Why?_____________________________________________________________
Why Not? _________________________________________________________
20.
Susan, age five, is a bright verbal child who is being raised in a very religious home.
Two and a half years ago, Susan’s mother noticed that her daughter began to have
frequent nightmares, to cry and cling to her when the school bus arrived to transport her
to the community day care center, owned and operated by a family of the same religious
background. Susan has also exhibited other disturbing behaviors: masturbating and
constant fighting with her sister. Susan has also experienced several incidents of vaginal
redness and discharges of unknown origin. Susan continues to be resistive about going
on the bus and complains about the bad people at the center who hurt her “pee pee”.
a.
Identify one behavioral indicator of abuse in this situation._________________
b.
Identify two physical indicators of abuse in this situation. __________________
c.
________________________________________________________________
d.
Would it be appropriate to contact the Central Register? ___________________
Why_____________________________________________________________
Why not? _________________________________________________________
NUR 246 Exam
EAM/mh