Deck 14: Child Maltreatment and Non-Accidental Trauma

Question 1

In reaction to a sexually abusive incident,it is common for young children to:

A)engage in self-destructive behavior
B)engage in delinquent acts
C)regress temporarily to an earlier stage of development
D)all of these

Answer 1

regress temporarily to an earlier stage of development

Question 2

Which of the following would not constitute as physical neglect?

A)inadequate supervision
B)refusing to allow an adolescent runaway to return home
C)delay in seeking health care
D)all of these are forms of physical neglect

Answer 2

all of these are forms of physical neglect

Question 3

Younger children are the most common victims of:

A)physical abuse
B)emotional abuse
C)sexual abuse
D)neglect

Answer 3

neglect

Question 4

The greater incidence of maltreatment in the U.S.compared to otherwise similar countries (e.g. ,Canada)is due to more _________ cases.

A)sexual abuse
B)physical abuse
C)neglect
D)emotional abuse

Question 5

Exploitation includes which of the following:

A)child labor
B)child prostitution
C)child pornography
D)all of these are exploitation

Question 6

Inaccuracies in lifetime prevalence estimates of maltreatment are due to the fact that these figures are based on:

A)retrospective reports
B)observational studies
C)surveys of reported cases only
D)parent report only

Question 7

The Ontario Health Supplement,a survey in which persons 15 years and over were asked about physical and sexual abuse in childhood,indicated that a history of physical abuse was reported more often by _________,and a history of sexual abuse was reported more often by __________.

A)males,males
B)females,females
C)males,females
D)females,males

Question 8

Canada's substantiated incidence of maltreatment is:

A)5.6 per 1000 children
B)14 per 1000 children
C)15.4 per 1000 children
D)16.8 per 1000 children

Question 9

Non-accidental trauma refers to:

A)abuse that occurs as a result of overdiscipline or punishment
B)trauma to a child that occurs with purpose or intent to harm
C)effects of maltreatment on a child's physical and emotional development
D)all forms of abuse

Question 10

Over ______ children in the U.S.were substantiated victims of child maltreatment in 2010.

A)1 million
B)900,000
C)500,000
D)1.5 million

Question 11

Which of the following is unrelated to the occurrence of maltreatment?

A)sexual orientation of the parent
B)religious faith of the parent
C)national origin of the parent
D)all of these are unrelated

Question 12

Children may be protected in part from the effects of maltreatment if they:

A)are immediately removed from the home
B)can prosecute the offending parent
C)are abused by only their father and not by their mother
D)have a positive relationship with at least one important and consistent person

Question 13

Children from __________ families are at significantly greater risk for both physical abuse and neglect.

A)poor
B)large
C)single-parent
D)all of these

Question 14

Many of the acute symptoms of sexual abuse resemble children's common reactions to:

A)fatigue
B)stress
C)illness
D)loss of a parent

Question 15

For healthy development,children need a caregiving environment that balances their need for ___________ with their need for ___________.

A) control, responsiveness
B) ego-mastery, discipline
C) ego-mastery, responsiveness
D) control, discipline

Question 16

Women outnumber men as perpetrators of:

A)physical abuse
B)neglect
C)neglect and emotional abuse
D)neglect and physical abuse

Question 17

Maltreated children may have the hardest time adapting to stress when they are deprived of

A)positive adult relationships
B)models for good problem solving
C)a sense of personal control
D)all of the above

Question 18

If a child with a diagnosed psychological disorder (e.g. ,depression)was also being abused,the maltreatment would be noted on Axis _____ of the DSM-IV-TR.

A)I
B)II
C)III
D)IV

Question 19

A babysitter who notices bruises on a child who subsequently tells the sitter that her mother hits her is obligated (by law)to:

A)do nothing
B)remove the child from the home
C)confront the parent
D)alert the police or child welfare agency

Question 20

____________ exists to some degree in all forms of maltreatment,making it difficult to define.

A)Emotional abuse
B)Physical abuse
C)Emotional neglect
D)Physical neglect

Question 21

Which of the following statements about sexual abuse offenders is false?

A)Sexual abuse offenders rarely use force to gain children's compliance.
B)Sexual abuse offenders often have good social skills.
C)Sexual abuse offenders often gradually indoctrinate children into sexual activity.
D)none of these are false

Question 22

Once environmental and adult factors are controlled,the only child characteristic that has been associated with the risk of sexual abuse is:

A)age
B)gender
C)temperament
D)conduct problems

Question 23

Physically abused children tend to have peer relationships marked by:

A)anger and aggression
B)avoidance and withdrawal
C)dependency and clinginess
D)friendliness and interest

Question 24

Maltreatment is least likely to be associated with:

A)family stress
B)substance abuse
C)parental paranoid schizophrenia
D)parental intellectual deficits

Question 25

Which of the following statements regarding the relationship between childhood maltreatment and later violent delinquent behavior is TRUE?

A)Most children who experience physical abuse in childhood later go on to engage in violent delinquent behavior.
B)Very few children who experience physical abuse in childhood later go on to engage in violent delinquent behavior.
C)Children who experience routine violence in childhood are significantly more likely to engage in violent delinquent behavior later on.
D)The experience of physical abuse is significantly associated with violent delinquent behavior later on,except for children who only experience abuse prior to adolescence.

Question 26

Children who have been sexually abused are more likely to develop PTSD symptoms if:

A)the perpetrator was their mother
B)they were infants at the time of the abuse
C)they were adolescents at the time of the abuse
D)the abuse was chronic and coercive

Question 27

The attachment pattern typically shown by children who are abused is:

A)secure
B)insecure-resistant
C)insecure-disorganized
D)insecure-avoidant

Question 28

Which of the following child characteristics has been associated with the risk of maltreatment,once environmental and adult factors are controlled?

A)conduct problems
B)physical disability
C)temperament
D)none of these

Question 29

Teachers are more likely to rate children who have been sexually abused as:

A)defensive
B)shy and anxious
C)sad and depressed
D)angry and aggressive

Question 30

___________ involves the degree to which the child feels their confidence was gained through manipulation and coercion,as well as the position of trust or authority held by the perpetrator.

A)Betrayal
B)Victimization
C)Helplessness
D)Deceit

Question 31

Traumatic sexualization is especially likely to occur following situations in which:

A)the child is also physically abused
B)the abuse is chronic
C)a sexual response is also evoked from the child
D)the child is forced to abuse others

Question 32

A maltreated child,upon seeing another child crying,is likely to:

A)laugh
B)comfort the child
C)act disinterested
D)respond in fear or anger

Question 33

In comparison to boys,girls who are abused tend to show more:

A)shame and self-blame
B)anger
C)physical aggression
D)verbal aggression

Question 34

Compared to abusive parents,neglectful parents:

A)have less striking personality disorders
B)have better knowledge of children's needs
C)have more chronic patterns of social isolation
D)become more emotionally and behaviorally reactive under stress

Question 35

How many children and adolescents with histories of maltreatment involving sexual abuse or combined sexual and physical abuse meet criteria for post-traumatic stress disorder (PTSD)?

A)20%
B)30%
C)50%
D)60%

Question 36

_____________ is an altered state of consciousness,in which the individual feels detached from the body or self,as if what is happening (e.g. ,a traumatic/abusive experience)is not happening to him or her.

A)Self-splitting
B)Dissociation
C)Projection
D)Mental fragmentation

Question 37

While adaptive in abusive and inescapable situations,dissociation may lead to:

A)borderline personality disorder
B)schizophrenia
C)bipolar disorder
D)split psychotic disorder

Question 38

Which of the following is not characteristic of parents who maltreat their children?

A)information-processing disturbances
B)unfamiliarity of developmentally appropriate expectations for children
C)unfamiliarity of the parenting role
D)all of these are characteristic of maltreating parents

Question 39

The major sociocultural factor contributing to abuse and neglect of children is:

A)inequality
B)poverty
C)media violence
D)social violence

Question 40

A history of _____________ among males is a significant risk factor for inappropriate sexual behaviors,alienation,and social incompetence in adolescence.

A)physical abuse
B)sexual abuse
C)neglect
D)any form of maltreatment

Question 41

Treatment of physical abuse involves training parents in:

A)positive child-rearing skills
B)cognitive behavioral therapy
C)distorted beliefs
D)all of the above

Question 42

Treatment for child neglect focuses on:

A)parenting skills and expectations
B)social competence
C)household management
D)all of the above

Question 43

Successful treatment of children who have experienced sexual abuse results in the child:

A)regaining their normal rate of development
B)confronting the abuser
C)no longer needing to attend therapy
D)returning to school and peer related activities

Question 44

This is a peer-mediated classroom intervention that involves pairing withdrawn children with resilient peers who are exceptionally strong at positive play activities.

A)resilient teacher treatment
B)resilient peer treatment
C)resilient buddy treatment
D)resilient friend treatment

Question 45

Treatment services for families that have maltreated a child have been limited due to:

A)lack of available services
B)difficulty of parents acknowledging their own weakness
C)children not wanting to attend therapy
D)families being financially unable to retain services