Child Abuse Detection, Reporting and Treatment
1)

A child who exhibits the following signs except, ____ , may be a victim of physical abuse:
 
Lacks needed medical care Has unexplained injuries, such as burns, bites, bruises, broken bones or black eyes Seems scared, anxious, depressed, withdrawn, or aggressive Abuses animals or pets
 
2)

A child who exhibits the following signs except, ____, may be a victim of neglect:
 
Is frequently absent from school Is consistently dirty and has severe body odor Has sufficient clothing for the weather Begs or steals food or money
 
3)

 A child who exhibits the following signs except, ____, may be a victim of sexual abuse:
 
Has difficulty walking or sitting Performs in school at an appropriate level based on ability Suddenly refuses to go to school Reports nightmares or bedwetting
 
4)

A child who exhibits the following signs except, ___, may be a victim of emotional maltreatment:
 
Shows extremes in behavior, such as being overly compliant or demanding Is delayed in physical or emotional development Reports an inability to develop emotional bonds with others Is either appropriately adult or appropriately infantile
 
5)

The following are all true statements about the impact of childhood trauma on well-being except:
 
Child abuse and neglect can have lifelong implications for victims, including on their well- being While the physical wounds may heal, there are many long-term consequences of experiencing the trauma of abuse or neglect. A child or youth’s ability to cope and thrive after trauma is called “resilience.” Working through and overcoming childhood trauma is insurmountable
 
6)

Child neglect:
 
Accounts for over three-quarters of confirmed cases of child maltreatment in the U.S. Receives more attention from practitioners, researchers, and the media Is well understood and is easy to identify, prevent, and treat effectively Is far less common than physical or sexual abuse
 
7)

The effects of neglect can vary based on the following factors except:
 
The child’s gender The presence of strength of protective factors The frequency, duration, and severity of the neglect The relationship between the child and caregiver
 
8)

Poverty, single parent status, dysfunctional family structure, lack of adequate support systems, lack of adequate family resources, domestic violence and drug abuse are risk factors that…
 
Place children at a greater risk of being harmed or endangered by neglect Means for certain that a child is being neglected Can be dismissed as familial and societal factors Have no bearing on the likelihood of neglect
 
9)

 When interviewing a child, a caseworker should do all of the following except…
 
be careful not to retraumatize and avoid asking leading or suggestive questions set ground rules and expectations about the interview Build rapport with the child by engaging her or him in brief conversations about interests and activities. Ask more closed-ended questions than open-ended questions
 
10)

Analyzing the information gathered during the assessment is essential to developing an effective case plan in collaboration with the family, its support network, and related service providers. In gathering information, case workers should do all the following except:
 
Begin as late as possible Provide concrete services first Focus on strengths Encourage incremental change
 
11)

Indicators of chronic child neglect include all the following except:
 
One or more needs basic to a child’s healthy development are not met The neglect surrounds a particular incident The neglect happens on a recurring or enduring basis The neglect is perpetrated by a parent or caregiver
 
12)

Partnering with families to help them identify their strengths and needs allows them to feel greater ownership of their case plan and more invested in the outcomes.  The following are elements to consider when intervening on behalf of families dealing with chronic neglect except:
 
Meeting the concrete needs of the family first Building trust with the family members by keeping promises and promoting regular contact and accessibility Developing the family’s skills through large steps with vaguely defined goals Strengthening the family’s support network
 
13)

Families and caregivers are more likely to work toward case goals and achieve safety, well-being and permanency when…
 
They have hope and an optimistic approach toward positive goals They fear they will have their children removed from their care They set goals that seem impossible to achieve They are given the research on early childhood brain development
 
14)

The Child Abuse Prevention and Treatment Act (CAPTA) requires States to have policies and procedures in place to do the following except:
 
to notify child protective services (CPS) agencies of substance-exposed newborns (SENs) to notify child protective services (CPS0 agencies of underweight newborns to establish a plan of safe care of newborns identified as being affected by illegal substance to establish a plan of safe care of newborns identified as having withdrawal symptoms resulting from prenatal drug exposure
 
15)

A history of maltreatment may be correlated with the following except:
 
increased risk for diabetes poorer lung functioning reduced volume in overall brain size and the size and/or function of brain regions increased auspicatus and prospero
 
16)

Epigeneitcs:
 
refers to changes in how an individual’s genes are expressed and used, which may be temporary or permanent refers to the replication of genes and how chromosomes are distributed a gene finding method to determine your ancestry based on mitochondrial DNA refers to the chemical machinery that keeps cells alive to interpret genetic instructions
 
17)

Psychological consequences of child abuse and neglect can include the following except:
 
Increased executive functioning and cognitive skills Poor mental and emotional health Attachment and social difficulties Posttraumatic stress
 
18)

Behavioral consequences of child abuse and neglect can include the following except:
 
Healthy sexual practices Juvenile delinquency leading to adult criminality Alcohol and other drug use Future perpetration of maltreatment
 
19)

In Trauma-informed care…
 
investigates the interaction of conscious and unconscious elements in the mind and bringing repressed fears and conflicts into the conscious mind service professionals use classic conditioning to change unwanted and destructive behavior service professionals acknowledge a child’s history of trauma and how that trauma can have an impact on the symptoms being experienced by the child service professionals focus on trauma in their present situation and distorted thinking oftheir past trauma
 
20)

True or False.  Approximately 49 States, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the Virgin Islands impose penalties on mandatory reporters who knowingly or willfully fail to make a report when they suspect that a child is being abused or neglected.
 
True False
 
21)

Protective Factors are:
 
Assets in families and communities that increase the health and well-being of children and families An index that tracks 30 large publicly owned protection community networks Assets that help protect the public in emergency situations, such as car crashes, chemical spills, and flooding Devices that serve many purposes including a heavy-duty TPU for protection
 
22)

Promising practices for building and sustaining community partnerships include all the following except:
 
Building and sustaining relationships and partnerships with employees of other agencies and systems that affect family safety Establishing a shared vision for practice based on safety for all family members Avoid culturally specific community-based organizations Developing joint protocols and policies to guide Practice
 
23)

Although adult and child victims often are found in the same families, child welfare and domestic violence programs have traditionally responded separately to victims.  This focus on the safety and protection of only one victim can lead to unintended consequences.  For example, by removing children from their homes and placing them in out-of-home care…
 
can finally be adopted by good parents can cause additional trauma can start sibling feuding can be a relief to the parent to prevent future violence or abuse
 
24)

All of the following are true about abusive head trauma (AHT) except:
 
It includes shaken baby syndrome Is a preventable and severe form of physical child abuse that results in an injury to the brain of a child Is most common in children under age five, with children under one year of age at most risk. At least 3 out of 4 babies who experience AHT dies from this form of child abuse
 
25)

In the rapport-building phase in an interview, the interviewer attempts all of the following except:
 
build a trusting relationship with the child explain some of the details about the interview process provide the child with opportunities to practice providing narrative information transition to asking closed-ended questions in succession
 
26)

In presenting instructions to the child being interviewed, the interviewer should do the following except:
 
requesting that the child provide information about things that actually happened and things imagined giving the child permission to say “I don’t know” advising the child to ask the interviewer to clarify any questions the child does not understand informing the child to alert the interviewer if the interviewer provides incorrect information
 
27)

The following factors are critical to the understanding and practice of interviewing except:
 
Age and developmental level Effect of trauma on memory and bias Gender and height Suggestibility and multiple interviews
 
28)

Interviewers should do the following except:
 
Use open-ended questions Move quickly to more focused prompts Allow for silence Allow for hesitation
 
29)

All of the following are open-ended questions except:
 
“What happened when…?” “Did the man come into your bedroom?” “Tell me about…” “Why do you think…?”
 
30)

 Interviewers should be aware of bias and mitigate by doing the following except:
 
address a variety of hypotheses rather than to confirm or negate a particular one believe they already know what happened and elicit that information to confirm Work with a team of professionals Be aware of the professional and personal lens in which they perceive allegations
 
31)

Overall considerations in interviewing include the following except:
 
Conduct the interview as soon as possible after initial disclosure Record the interview electronically Record the interview electronically Use focused questions right away
 
32)

In ending the interview, the interviewer should do the following except:
 
Promise the child they will never have to be interviewed again Ask the child if there is anything else he or she would like to share or to ask Discuss safety plans and provide educational materials Thank the child for participating
 
33)

Brain development, or learning is…
 
more likely to happen after the age of 5 and before the age of 40 actually the process of creating, strengthening, and discarding connections among the neurons, called synapses not happening in the brainstem, midbrain or limbic system mostly completed and finalized with the synapses present at birth
 
34)

 By 3 years of age,
 
a brain stops growing and synapse are almost finalized the brain will no longer increase in white matter or brain tissue a baby’s brain has reached almost 90 percent of its adult size myelination has completed in the frontal lobe
 
35)

Hyperarousal.  When children are exposed to chronic, traumatic stress, their brains sensitize the pathways for the fear response and create memories that automatically trigger that response without conscious thought.  These children…
 
are less likely to be labeled as learning disabled are less able to interpret and respond to verbal cues, i.e., in a classroom may be highly sensitive to nonverbal cues, such as eye contact or a touch on the arm both b and c
 
36)

 Child maltreatment can lead to structural and chemical changes in the areas of the brain involved in emotion and stress regulation.  Which can…
 
initiate the development of anxiety and depression by late adolescence may permanently alter the brain’s ability to use serotonin increase cognitive or mental flexibility both a and b
 
37)

Children who have been abused or neglected may not be functioning at their chronological age in terms of their physical, social, emotional, and cognitive skills.   They may display unusual and/or difficult coping behaviors.  For example, abused or neglected children may do the following except:
 
be unable to control their emotions and have frequent outbursts be quiet and submissive have unusual eating or sleeping behaviors have consummatus salute
 
38)

 According to data from the National Child Abuse and Neglect Data System (NCANDS) about how many children die from abuse or neglect every day in the United States?
 
1 5 15 20
 
39)

Many researchers and practitioners believe that child fatalities due to abuse and neglect are underreported because the following except:
 
uniform reporting requirements and definitions of child abuse and neglect variations in state child fatality review and reporting processes the length of time (up to a year in some cases) it may take to establish abuse or neglect as the cause of death the ease with which the circumstances surrounding many child maltreatment deaths can be concealed or rendered unclear
 
40)

Who are the perpetrators?  In 2017, parents—acting alone or with another parent or individual—were responsible for ___ of child abuse or neglect fatalities.
 
15.1 % 35.1 % 67.1 % 80.1 %