Unit 3 NUR 221 (100% error-less solutions)

Three risk factors are commonly identified in child abuse: correct answers parental characteristics, characteristics of the child, environmental characteristics. Parental Characteristics of Abuse correct answers younger parents, single parent families, especially those that include an unrelated partner, the partners sometimes are abuser , although the biological parent is most commonly the perpetrator. often socially isolated, few supportive relationships, low income, little education, substance abuse problems, additional stressors of substance abuse because parents have impaired judgment and may react with violence while under the influence of drugs or alcohol. These parents are vulnerable to additional crises of any nature and may strike out at the child as a method of releasing their frustration and anxiety. Low self-esteem, little knowledge of appropriate parenting skills, parenting skills are learned behaviors and parents who grew up poor parental role models may have difficulty parenting their own children. Often, child abusers were abused or observed some types of abuse in their home. characteristics of the abused child: correct answers children from birth to 1 year of age are at highest risk for being abused. Children that require constant attention Children with disabilities, cannot tell others or defend themselves. Premature infants because of failure of parent-child bonding during infancy, increased physical care needs, or irritability. Removing a child from a home places other siblings at risk for abuse, no child is safe if left in an abusive environment Box 33.4 Warning signs of abuse physical evidence of abuse or neglect correct answers including previous injuries, conflicting stories, injury blamed on siblings or other party, injury inconsistent with the history, history inconsistent with developmental level, complaint other than the one associated with signs of abuse, inappropriate responsive caregivers such as exaggerated or absent emotional response, refusal to sign for additional test or refusal to seek necessary treatment, excessive delay in seeking treatment, or absent the parents for questioning. Inappropriate response of child such as little or no response to pain, fear of being touched, excessive her lack of separation anxiety, indiscriminate friendliness to strangers. Child report of physical or sexual abuse. Previous reports of abuse in the family. Repeated visits to emergency facilities with injuries. Parent or caregiver report found the child unresponsive indicating absence during the supposed event box 33.5 clinical manifestations of potential child maltreatment physical neglect physical findings and behaviors correct answers Suggestive physical ftt, undernutrition (in extremities, abdominal distention, lack of Sub-Q fat), poor hygiene, unclean or inappropriate dress, poor health care, frequent injuries