NURS 663 EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS
Sexual abuse - ANSWER ✔ refers to behavior between a child
and an adult or between two children when one of them is
significantly older or uses coercion. The perpetrator and the victim
may be of the same sex or the opposite sex
Sexual abuse presentation - ANSWER ✔ 1. precocious behavior
with peers and present a detailed knowledge that reflects
exposure beyond their developmental level.
2. Children who endure or often display sadistic and aggressive
behaviors themselves
3. anxiety symptoms, dissociative reactions and hysterical
symptoms, depression, disturbances in sexual behaviors, and
somatic complaints.
Abused child - ANSWER ✔ fear, guilt, anxiety, depression, and
ambivalence regarding disclosure
Sex abuse physical indicators - ANSWER ✔ 1 include sexually
transmitted diseases (e.g., gonorrhea); pain, irritation, and itching
of the genitalia and the urinary tract; and discomfort while sitting
and walking
2. include enuresis, encopresis, anal and vaginal itching,
anorexia, bulimia, obesity, headache, and stomachache
Sexual abuse add'l - ANSWER ✔ sex not pathognomonic;
children often display without the abuse.
1/3 have no sx
, Factors associated with more severe symptoms in the victims of
sexual abuse - ANSWER ✔ greater frequency and duration of
abuse, sexual abuse that involved force or penetration, and
sexual abuse perpetrated by the child's father or stepfather
Emotional or psychological abuse - ANSWER ✔ 1. conveys
worthless, flawed, unloved, unwanted, or endangered.
2. spurn, terrorize, ignore, isolate, or berate the child.
3. verbal assaults (e.g., belittling, screaming, threats, blaming, or
sarcasm),
4. exposing the child to domestic violence,
5. overpressuring through excessively advanced expectations,
6. enc/instruct to engage in antisocial activities
Severity of emotional abuse - ANSWER ✔ (1) intent to inflict
harm
(2) whether behaviors are likely to cause harm
Physical abuse defined - ANSWER ✔ 1. any act that results in a
nonaccidental physical injury, such as beating, punching, kicking,
biting, burning, and poisoning
2. result of unreasonably severe corporal punishment or
unjustifiable punishment
Phys abuse risk factors - ANSWER ✔ 1. poverty and
psychosocial stress, parental substance abuse, and mental
illness.
2. less parental education, underemployment, poor housing,
welfare reliance, and single parenting.
3. domestic violence, social isolation, parental mental illness, and
drug and alcohol abuse.
4. prematurity, intellectual disability, and physical handicap.
5. families with many child
, Phys abuse signs - ANSWER ✔ 1. organized by damage to the
site of injury: skin and surface tissue, the head, internal organs,
and skeletal; evidence of repeated suspicious injuries
2. unusually fearful, docile, distrustful, and guarded, disruptive
and aggressive.
3. wary of physical contact, show no expectation of being
comforted
4. on the alert for danger and continually size up the environment
5. afraid to go home.
Physically abused children psychopathology - ANSWER ✔
depression, conduct disorder, ADHD, oppositional defiant
disorder, dissociation, and PTSD
psychological consequences of physical abuse and neglect -
ANSWER ✔ affect dysregulation, insecure and atypical
attachment patterns, impaired peer relationships involving
increased aggression or social withdrawal, and academic
underachievement.
Neglect - ANSWER ✔ most prevalent form of child maltreatment
failure to provide adequate care and protection
withholding of physical, emotional, and educational necessities.
Physical neglect - ANSWER ✔ abandonment, expulsion from
home, disruptive custodial care, inadequate supervision, and
reckless disregard for a child's safety and welfare
Medical neglect - ANSWER ✔ refusal, delay, or failure to provide
medical care
Educational neglect - ANSWER ✔ failure to enroll a child in
school and allowing chronic truancy.
, Enuresis - ANSWER ✔ pathophysiology involves the inability to
awaken from sleep in response to a full bladder, coupled with
excessive nighttime urine production or a decreased functional
capacity of the bladder.
DSM-5 Criteria for Enuresis - ANSWER ✔ a. Repeated voiding of
urine into bed or clothes, whether involuntary or intentional
b. Must be present for 2x a week for 3 months OR causing
significant distress in important areas of functioning
c. Must be at least 5 years old or older
d. Not r/t medication or another medical condition
e. Specify if nocturnal, diurnal or a combination
First-line treatment for enuresis - ANSWER ✔ a. Bed-alarm
therapy and Bladder Diary
b. Desmopressin
Medical causes for enuresis - ANSWER ✔ Constipation,
obstructive sleep apnea, diabetes mellitus, diabetes insipidus,
chronic kidney disease
DSM-5 Criteria for Encopresis - ANSWER ✔ a.DSM-5 Criteria
◾At least 1x a month for 3mo
◾Must be 4 years old or older
