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26 Cards in this Set
- Front
- Back
What is the biggest cause of child maltreatment?
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neglect
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What is abuse?
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deliberate actions that are harmful to a childs well being
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What is neglect
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failure to meet a childs basic
needs including inattention to basic emotional and physical needs |
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What are the factors contributing to child neglect (6)
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inadequate income
dangerous housing -lack of medical care -threatening neighborhoods -inability to provide basic needs -single parent households |
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What are the consequences of neglect (6)
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-language
-behavioral problems such as agression -Unhapiness -Anger -Poor problem solving ability -Increased risk of future violent criminal activity in males |
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What are the consequeences of child abuse? (7)
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-sexualized behavior
-PTSD -sexual dysfunction -anxiety and depression -revictimization -dose response |
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What is the dose response of consequences of child abuse?
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More severe symptoms with greater frequncy and duration of abuse
-Use of force/penetration in acts of abuse -Abuse perpetrated by father or father figure |
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What cultural values are protective of children? (4)
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-children highly valued psychologically
-child care is responsibility of community -young children are not responsible for their action -violence in any context is disapproved of |
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What are cultural facotrs in the US that predispose child maltreatment? (4)
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-children seen as financial and personal burden
-lack of social support for parents and young children -unrealistic expectations of child maturity -widespread acceptance of violence in the US |
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What are risk factors for child maltreatment? (5)
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-children with complex medical problems
-children with developmental delays -unwanted children -dificult children with colic or hyperactivity -caregiven under significant life stressors |
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What are historical indicators of child maltreatment? (4)
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-History of repeated, suspicious injuries
-unreasonable delay in seeking treatment -injury is inconsistnet with childs developmental age -history of injury changes over time or based on history |
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What are physical indicators of child maltreatment? (7)
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-bruises or uncommonly injured body surfaces
-blunt instrument marks or burns -human hand marks or bite marks -multiple injuries at different stages of healing -failure to thrive -immersion burns -abusive head trauma |
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Fracture types often associated with child abuse?
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-metaphyseal lesion
-posterior rib fracture -scapular fracture -spinous process fracture -sternal fracture |
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What are the differential diagnosis of child abuse - hematologic?
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-hemophilia
-idiopathic thrombocytopenic pururia - |
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What are dermatologic indicators of child abus? diffreential diagnosis
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-phytophotodermatitis
-mongolian spots -vascular malformations -subcutaneous fat necrosis |
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What are the infectious disease indicators? differential diagnosis
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-bullous impetigo
-staphylococccal scalded skin syndrome -petechia or systemic bacterial viral infection |
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What are metabolic congenital malformation disease indicators? diffrential diagnosis
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osteogenesis imperfecta
ehlers dahlos syndrome rickets |
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What are other random diffrential diagnosis?
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-insensititivty to pain disorder
-accidental trauma -toddlers fracture stress fracture |
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What are teh chracteristics of maltreating families? (4)
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-very rigid schedules or role demands or very choatic or disorganized
-family distrusts outside involvement of neighbors -increased child-adult ratio -abuse or negleect between other family members |
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What is the physical abuse ratio in terms of single versus two parent families?
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3:1
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What is the rate of abuse of children in families where battered women are?
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6 more times
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what are characteristics of maltreating parents? (6)
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-low self esteem
-less adaptable -immaturity -selfishness -view the world as hostile and difficult -substance abuse |
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What are the consequences of maltreatment (11)?
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-underweight (failure to thrive)
-delayed speech skills -inability to concentrate -delay in academic progress -less friendly -more agressive -more isolated; fear of intimacy -self-destructive or harmful behaviors -dpression, somatization, anxiety, dissociation, psychosis, suicidal ideation -difficulty controlling emotions -severeity of physical injury does not predict severeity of developmental dysfunction |
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What is the intergenerational transmission of maltreatment?
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-30 to 40% of child abuse have a parent who was abused
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What makes intergenerational transmission more likely?
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more likely to occur in those who deny suffering childhood maltreatment
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What are 3 mechanisms for domestic violence and child abuse?
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-child tries to intervene in battering and spouse redirects anger
-child accidentally strunk in blow meant for spouse -battered women may overdiscipline so the kid wont get hurt by partner |