NSG 5442 Exam 3 Study
Guide Questions and
Correct Answers
Topic 1: Intimate Partner Violence (IPV) and Family Dynamics
Question 1
The primary care pediatric nurse practitioner suspects that the parent of a child who is doing
poorly in school is being abused by a partner. What is a priority response by the nurse
practitioner?
A) Notifying the child's school counselor about this problem.
B) Referring the child and family to a social worker.
C) Reporting this according to any mandated reporting laws.
D) Suggesting that the parent avoid the abusive situation.
Correct ✔✔✔ANSW✔✔: C) Reporting this according to any mandated reporting laws.
Rationale: In cases of suspected abuse or neglect, the legal and ethical priority is to follow
mandatory reporting laws to protect the child. While counseling and social work referrals are
important, they do not supersede the legal duty to report suspected maltreatment to the
appropriate authorities .
,Question 2
A 9-year-old child exhibits school refusal and a reluctance to attend sleepovers with classmates.
The parent is concerned because the child has recently begun sleeping in the parents' bed. Which
initial action by the primary care pediatric nurse practitioner is appropriate?
A) Assess for environmental stress, parental dysfunction, and maternal depression.
B) Ask about recent traumatic events that may have precipitated this behavior.
C) Consider a possible pediatric autoimmune neuropsychiatric disorder cause.
D) Recommend firm insistence on school and activity attendance.
Correct ✔✔✔ANSW✔✔: B) Ask about recent traumatic events that may have precipitated
this behavior.
Rationale: School refusal and regressive behaviors (like sleeping in parents' bed) are common
indicators of underlying stress or trauma. The initial step is to inquire about recent traumatic
events that may have triggered the behavioral change before assuming other causes .
Question 3
The social-interactional system perspective of child abuse and neglect says that the
legitimization of violence in the family is due to which of the following factors?
A) Family pathology of a genetic nature.
B) Increased availability of pornography.
C) Emphasis on hiding sexuality and not being open.
D) Society's attitudes, beliefs, and values.
Correct ✔✔✔ANSW✔✔: D) Society's attitudes, beliefs, and values.
,Rationale: The social-interactional perspective emphasizes that violence is legitimized within
families through broader societal norms, attitudes, and values that tolerate or even encourage
aggressive behavior in certain contexts .
Question 4
Which of the following statements best defines the term child maltreatment?
A) Intentional injury of a child.
B) Not giving a child what he or she wants.
C) Failure to provide what a child needs.
D) Accidental harm to a child by someone.
Correct ✔✔✔ANSW✔✔: C) Failure to provide what a child needs.
Rationale: Child maltreatment encompasses both acts of commission (abuse) and omission
(neglect). It is broadly defined as the failure to provide for a child's basic physical, emotional, or
educational needs, or acts that cause harm .
Question 5
During a well child examination on an infant who has colic, the primary care pediatric nurse
practitioner learns that the infant's mother is 17 years old and that the father, who is in the
military, was deployed to wartime duty shortly after the baby was born. To determine the
immediate risk of child maltreatment for this infant, the nurse practitioner will ask about:
A) Childrearing and parenting styles.
B) Role responsibilities of the parents.
, C) Spiritual beliefs and religious practices.
D) The location of extended family members.
Correct ✔✔✔ANSW✔✔: D) The location of extended family members.
Rationale: Risk factors for child maltreatment include social isolation, lack of support, and young
parental age. Determining the availability of extended family members assesses the presence of
a support system that can mitigate stress and reduce the risk of abuse .
Question 6
The primary care pediatric nurse is performing a well child examination on an adolescent who
was adopted as a toddler. The parent reports that the child had been removed from an abusive
home at age 3 years. What will the nurse practitioner evaluate in light of possible long-term
effects of this early situation?
A) Cognitive and psychosocial development.
B) Mental health and suicide risk.
C) Moral development and conscience formation.
D) Spirituality, faith, and religious affiliation.
Correct ✔✔✔ANSW✔✔: A) Cognitive and psychosocial development.
Rationale: Early childhood abuse and neglect can have lasting impacts on cognitive
development, emotional regulation, and psychosocial functioning. While mental health is also a
concern, cognitive and psychosocial development are broad areas that encompass school
performance, peer relationships, and self-concept .
Guide Questions and
Correct Answers
Topic 1: Intimate Partner Violence (IPV) and Family Dynamics
Question 1
The primary care pediatric nurse practitioner suspects that the parent of a child who is doing
poorly in school is being abused by a partner. What is a priority response by the nurse
practitioner?
A) Notifying the child's school counselor about this problem.
B) Referring the child and family to a social worker.
C) Reporting this according to any mandated reporting laws.
D) Suggesting that the parent avoid the abusive situation.
Correct ✔✔✔ANSW✔✔: C) Reporting this according to any mandated reporting laws.
Rationale: In cases of suspected abuse or neglect, the legal and ethical priority is to follow
mandatory reporting laws to protect the child. While counseling and social work referrals are
important, they do not supersede the legal duty to report suspected maltreatment to the
appropriate authorities .
,Question 2
A 9-year-old child exhibits school refusal and a reluctance to attend sleepovers with classmates.
The parent is concerned because the child has recently begun sleeping in the parents' bed. Which
initial action by the primary care pediatric nurse practitioner is appropriate?
A) Assess for environmental stress, parental dysfunction, and maternal depression.
B) Ask about recent traumatic events that may have precipitated this behavior.
C) Consider a possible pediatric autoimmune neuropsychiatric disorder cause.
D) Recommend firm insistence on school and activity attendance.
Correct ✔✔✔ANSW✔✔: B) Ask about recent traumatic events that may have precipitated
this behavior.
Rationale: School refusal and regressive behaviors (like sleeping in parents' bed) are common
indicators of underlying stress or trauma. The initial step is to inquire about recent traumatic
events that may have triggered the behavioral change before assuming other causes .
Question 3
The social-interactional system perspective of child abuse and neglect says that the
legitimization of violence in the family is due to which of the following factors?
A) Family pathology of a genetic nature.
B) Increased availability of pornography.
C) Emphasis on hiding sexuality and not being open.
D) Society's attitudes, beliefs, and values.
Correct ✔✔✔ANSW✔✔: D) Society's attitudes, beliefs, and values.
,Rationale: The social-interactional perspective emphasizes that violence is legitimized within
families through broader societal norms, attitudes, and values that tolerate or even encourage
aggressive behavior in certain contexts .
Question 4
Which of the following statements best defines the term child maltreatment?
A) Intentional injury of a child.
B) Not giving a child what he or she wants.
C) Failure to provide what a child needs.
D) Accidental harm to a child by someone.
Correct ✔✔✔ANSW✔✔: C) Failure to provide what a child needs.
Rationale: Child maltreatment encompasses both acts of commission (abuse) and omission
(neglect). It is broadly defined as the failure to provide for a child's basic physical, emotional, or
educational needs, or acts that cause harm .
Question 5
During a well child examination on an infant who has colic, the primary care pediatric nurse
practitioner learns that the infant's mother is 17 years old and that the father, who is in the
military, was deployed to wartime duty shortly after the baby was born. To determine the
immediate risk of child maltreatment for this infant, the nurse practitioner will ask about:
A) Childrearing and parenting styles.
B) Role responsibilities of the parents.
, C) Spiritual beliefs and religious practices.
D) The location of extended family members.
Correct ✔✔✔ANSW✔✔: D) The location of extended family members.
Rationale: Risk factors for child maltreatment include social isolation, lack of support, and young
parental age. Determining the availability of extended family members assesses the presence of
a support system that can mitigate stress and reduce the risk of abuse .
Question 6
The primary care pediatric nurse is performing a well child examination on an adolescent who
was adopted as a toddler. The parent reports that the child had been removed from an abusive
home at age 3 years. What will the nurse practitioner evaluate in light of possible long-term
effects of this early situation?
A) Cognitive and psychosocial development.
B) Mental health and suicide risk.
C) Moral development and conscience formation.
D) Spirituality, faith, and religious affiliation.
Correct ✔✔✔ANSW✔✔: A) Cognitive and psychosocial development.
Rationale: Early childhood abuse and neglect can have lasting impacts on cognitive
development, emotional regulation, and psychosocial functioning. While mental health is also a
concern, cognitive and psychosocial development are broad areas that encompass school
performance, peer relationships, and self-concept .
