What assessment finding indicates that a child is a victim of ...

[Deast7027]

What assessment finding indicates that a child is a victim of sexual abuse?
 
  1. Repeated ear infections
  2. Hives
  3. Genital and/or anal irritation or trauma
  4. Early appearance of secondary sex characteristics

Question 2

What must be done when assessing an injured patient? (Select all that apply.)
 
  1. Ensure privacy
  2. Be alert for signs of abuse
  3. Provide safety
  4. Assert personal values
  5. Display a nonjudgmental demeanor

[srodz]

Answer to Question 1

Correct Answer: 3

Genital and/or anal irritation or trauma is consistent with sexual abuse. The abused child may also exhibit behavioral signs such as aggression or extreme withdrawal along with any physical trauma. Repeated ear infections, hives, and early appearance of secondary sex characteristics do not indicate sexual abuse.

Answer to Question 2

Correct Answer: 1, 2, 3, 5

Ensuring victim privacy and safety is paramount for the nurse in order to develop a trusting nurse-client relationship. Only then will a victim feel safe from the perpetrator and allow him or herself to view family violence reality in an objective manner. The nurse should convey a nonjudgmental manner; in other words, the nurse should avoid blaming the victim or the abuser or looking for pathological elements in anyone's behavior. Being nonjudgmental will aid in building a positive interaction with the patient. During the physical assessment the nurse should be alert for signs of abuse and document the findings. Personal values are inappropriate during any assessment.