1- child limping and that they are favoring their right leg
2- - ANSWER:- You work at a childcare center. A 3-year-old child returns to your classroom
after a family vacation. You notice the child limping and that they are favoring their right leg.
When you ask if their leg is hurt, they shake their head no and will not answer vour
questions, This child has had several accidents in the past few months and the adult
caregivers have always had a plausible explanation.
Please select the words in the paragraph on your screen that are potential indicators of
abuse or maltreatment.
1- No
2- No
3- Yes - ANSWER:- You are a police officer responding to a domestic disturbance on a
Sunday morning. The call was made by a neighbor. When you arrive at the home, there are
two adults who both appear to be upset. There are also two children, ages 10 and 12. You
learn that the two adults fighting are the children's parents. One parent explains to vou that
the other "is out of control" and keeps velling at everyone. Neither parent admits to beina the
perpetrator or victim of an ohvsical violence. but both acknowledge frequent arguments that
are becoming increasinalv tense in recent months.
The children report that their parents often vell at each other but no one is ever hit or hurt.
1- Do I have a reasonable suspicion?
2- Am I required to call the SCR?
3- Are there any other actions to consider?
1- No
2- No
3- Yes - ANSWER:- You are a registered nurse working in a pop-up community health clinic
that provides the opportunity for free walk-in health services in designated "high-need and
low income" neighborhoods in your locality. A relative caregiver brings in a five-year-old
child who is complaining of stomach pain. The caregiver's primary language is French
Creole. The child can speak both English and French Creole.
Following a physical examination of the child and through communication with both the
child and the caregiver through an interpreter, you ascertain that the child lives full-time with
the caregiver and has for many months. You weigh the child and see that the child has lost 5
lbs since the last visit three months ago but determine the child to be healthy and that the
stomach pains are the result of hunger with no other co-occurring conditions that are likely
causing the child's discomfort. The caregiver angrily indicates that
1- Yes
2- Yes
3- Yes - ANSWER:- You are a school guidance counselor. A 15-year-old student that you
have a close relationship with asks to make an urgent appointment with you. You know that
this student identifies as transgender and is being raised in a single parent household. You
also know that the student is being treated for depression and suicidal ideation by a licensed
clinician that they have been seeing for the last year. This student tells you through tears
that last night they came out as transgender to their parent and that the parent screamed at
them and told them that they were an abomination and are going to hell because of their
transgender identity and could no longer live in their family's home if that is how they
choose to identify.
The student also noted the parent said that they blamed the student's identity on the school
and its culture, and they would be disenrolling the student from school. The student reveals
that they are n
1- Yes
2- Yes
3- Yes - ANSWER:- You are a therapist working with a client who is reluctant to open up but
with whom you have spent some time with building a positive and trusting relationship. In
today's session your client reluctantly discloses an event in which they threatened their
spouse with a gun after the spouse indicated that they wanted a divorce. The client stated
that they "didn't really mean it" but that the couple's two children, ages 5 and 9. witnessed
this. One child was visiblv shaking. while another urinated on themselves. Your client felt
bad for losing their temper but downplaved its impact on the children, stating that "kids are
resilient." Your client refuses to have an discussion about keeping the gun out of the house,
citing their "second amendment rights"
1- Do I have a reasonable suspicion?
2- Am I required to call the SCR?
Mandated reporter 1