CMAS 465 Exam 1 Review Questions With 100% Correct Answers.
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CMAS 465
Steps in the EBP Process: Clinical - ️️-Assess the patient/child/family: start with the
patient - a clinical problem or question arises
-Ask the question: build a clinical question derived from the issue
-Acquire the evidence
-Appraise the evidence
-Apply: talk with the patient
-Self-eval...
CMAS 465 Exam 1 Review
Steps in the EBP Process: Clinical - ✔️✔️-Assess the patient/child/family: start with the
patient - a clinical problem or question arises
-Ask the question: build a clinical question derived from the issue
-Acquire the evidence
-Appraise the evidence
-Apply: talk with the patient
-Self-evaluation
What are the concerns of evidence based treatments? - ✔️✔️3 concerns:
1.) Reliance on RCT to establish the empirical base
-Not all theories of practice lend themselves well to quantitative experiments
-Change in behavior = measurable outcome
-Change in psychodynamic = unmeasurable outcome
2.) Control setting to the "real world"
3.) Manualized treatment could devalue the clinical training and judgement of the
therapist
Take away messages from MOST: - ✔️✔️-MOST is a new approach for building more
effective and efficient behavioral interventions
◦Requires an additional step of optimization
◦Factorial experiments are efficient study design for optimization
-MOST can help move science forward faster to provide a greater public health impact
◦As constraints are changed, can ask new questions
History of child maltreatment and how it can be recognized at a legal and sociological
perspective - ✔️✔️-Child maltreatment has occurred for centuries
-In the U.S., it was widely recognized as an issue with the case of Mary Ellen.
-Sociological perspective: neighbors thought it was wrong (a social judgment that
certain acts of parents are not appropriate for cultural standards... focuses on parental
actions)
-Legal perspective: legal & protective efforts and documentation of injury (based on
documentable physical injuries or emotional harm that resulted from parental actions
against children... focuses of the effects of maltreatment)
-1946: Columbia University, Radiology Professor - John Caffey: unexplained multiple
fractures, subdural hematoma - collection of blood under the skull
-1962: "Battered Child Syndrome" - Henry Kempe
-1974: Child Abuse Prevention and Treatment Act (CAPTA)
What is the battered child syndrome? - ✔️✔️-A clinical condition in young children who
have received serious physical abuse
-A frequent cause of permanent injury or death
, -1962: Henry Kempe
-The syndrome should be considered in any child exhibiting evidence of: fracture of any
bone, subdural hematoma, failure to thrive, soft tissue swellings or skin bruising, in any
child who dies suddenly, where the degree and type of injury is at variance with the
history given regarding the occurrence of the trauma
What is the purpose of the child abuse and treatment act (CAPTA)? - ✔️✔️Provides
federal funding and guidance to states to support (practice):
-Prevention
-Assessments
-Investigation
-Prosecution
-Treatment
Identifies a federal role in supporting (research):
-Research
-Evaluation
-Technical assistance
-Data collection
Sets forth the federal definition of child abuse and neglect:
-At a minimum, any recent act or failure to act on the part of a parent or caretaker,
which results in death, serious physical or emotional harm, sexual abuse or exploitation,
or an act or failure to act which presents an imminent risk of serious harm
What the challenges are due to the differences in the definition of child maltreatment? -
✔️✔️-Impacts the researchers' ability to draw a conclusion about the scope of the
issue
-Difficulty in protecting children as far as investigation, intervention, and treatment
-Concern: Decisions are being made about who has and who has not committed child
maltreatment without a consistent and empirically supported definition
-Lack of social agreement on what types of parenting are acceptable versus dangerous
(ex. physical discipline/corporal punishment)
-Lack of certainty about whether child maltreatment should be characterized by adult
behavior, child outcomes, context, or more than one of these factors
-Disagreement about whether "endangerment" or "harm standards" should be included
in definitions (ex. hopskipdrive "uber for kids", kids walking home from school, latch key
kids)
-Uncertainty about the appropriateness of having similar definitions of child
maltreatment across legal, clinical, and scientific fields
-Inconsistencies in definitions often preclude comparative analyses of clinical studies
What is evidence based treatment? - ✔️✔️-Evidence based practice is an approach to
clinical practice that calls for research, specifically quantitative experimental designs, to
determine the best clinical methods.
-Evidence impacts what you do each day
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