Page 2342 - Saunders Comprehensive Review For NCLEX-RN

Box 67-8

Assessment Questions for Violence and Abuse

▪ “Has anyone ever touched you in a way that made you uncomfortable?”
▪ “Are these injuries a result of someone harming you?”
▪ “Is anyone hurting you now?”

▪ “How do you and your partner deal with anger (or disagreement)?”
▪ “Has your partner ever hit you?”
▪ “Have you ever been threatened by _____?”
▪ “Does your partner prevent you from seeing family or friends?”
▪ “Does your partner ever use the children to manipulate you?”
▪ “Did (or does) anyone in your family deal with anger by hitting?”

Box 67-9

Child Neglect and Abuse: Assessment Findings

Neglect

▪ Inadequate weight gain
▪ Poor hygiene
▪ Consistent hunger
▪ Inconsistent school attendance
▪ Constant fatigue
▪ Reports of lack of child supervision
▪ Delinquency

Physical Abuse

▪ Unexplained bruises, burns, or fractures

▪ Bald spots on the scalp
▪ Apprehensive child
▪ Extreme aggressiveness (typically boys) or withdrawal (typically girls)
▪ Fear of parents
▪ Lack of crying (older infant, toddler, or young preschool child) when
approached by a stranger
▪ Spiral fractures without history of trauma from a sports injury
▪ Poor performance in school

Emotional Abuse

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