1. The Child Abuse Prevention and Treatment Act identifies four major types of maltreatment, including:

• a. Financial abuse, physical abuse, withholding privileges as punishment, and child neglect.
• b. Physical abuse, scholastic abuse, "grounding," and neglect.
• c. Physical abuse, child neglect, sexual abuse, and emotional abuse.
• d. Over strictness, religious abuse, sexual abuse, and emotional abuse.

2. Which of the four major types of child maltreatment, affecting over 60% of confirmed cases, is most common?

• a. Sexual abuse
• b. Child neglect
• c. Emotional or psychological abuse
• d. Physical abuse

3. In New York State an abused child can be over the age of 18 under what circumstances?

• a. A child with a handicapping condition in a private residential school.
• b. A child whose parents are legally responsible for his or her care.
• c. By definition, an abused child is always under the age of 18.
• d. A child residing in a residential care facility under the jurisdiction of the Department of Social Services.

4. Which of the following is an example of child neglect?

• a. An adult commits a sex offense against the child.
• b. An adult allows a child to engage in overt sexual conduct.
• c. A parent fails to provide the child with proper supervision due to substance abuse.
• d. The legal guardian creates a substantial risk of physical injury to a child.

5. Which of the following statements about the Abandoned Infant Protection Act (AIPA) is true?

• a. Parents can avoid criminal prosecution when leaving a newborn more than 5 days old in a suitable location if they notify authorities immediately.
• b. Parents can avoid criminal prosecution when leaving a newborn less than 5 days old in a suitable location if they notify authorities immediately and if the parent intended the child no harm.
• c. There is no requirement to report the abandonment of a newborn infant if the person responsible is unknown.
• d. There is no requirement to report the abandonment of a newborn infant if the child was left in a suitable location and an appropriate person was notified.

6. Which statement about physical indicators of child abuse is true?

• a. X-rays may fail to detect one-fourth of head injuries in abused children.
• b. Ten percent of abdominal and chest injuries are fatal.
• c. CT or MRI scans should not be used when head injury is suspected.
• d. Children should be fully clothed during an examination.

7. The school nurse notices that six-year-old Sam has a large bruise on the right side of his face and abrasions along his right arm and knee. He says that he fell off his bike. Sam lives with his mother, a single parent. Sam is a very active boy and his teacher reports that he sometimes can be disruptive in classroom. Should the nature of this injury or the child's explanation lead you to suspect child abuse?

• a. Yes
• b. No

8. Which statement best describes child sexual abuse?

• a. Detecting child sexual abuse is a relatively simple matter if you use the correct assessment tools.
• b. Many victims have problems with later adult relationships and sexual functioning.
• c. Boys are sexually abused more often than girls.
• d. Negative effects of sexual abuse are similar from person to person.

9. "Reasonable cause" is defined as:

• a. Being certain that child maltreatment has occurred.
• b. Being able to entertain the possibility that an injury could have been neglect or nonaccidental.
• c. Being uncertain about the likelihood of maltreatment.
• d. Doubting what you have been told.

10. Mandated reporters are required to report suspected child abuse, maltreatment, or neglect to the Central Registry by telephone:

• a. Within 24 hours.
• b. Within 7 days
• c. Immediately.
• d. At the end of the current shift.

11. In addition to calling the Central Registry, you must file a written report with local child protective services:

• a. Within 48 hours of the oral report.
• b. Within 5 working days of the oral report.
• c. By the end of the month.
• d. By the end of the workday.

12. Abuse and maltreatment may be caused by individuals other than a parent or person legally responsible for the child's care, such as neighbors or strangers. Such individuals might not fit the legal definition of the "subject of the report." In such instances a mandated reporter should contact:

• a. The child's parents.
• b. Law enforcement authorities.
• c. Your local Child Protective Services office.
• d. The State Central Register.

13. The privacy provisions of HIPAA do not affect the reporting responsibilities of mandated reporters in New York State.

• a. True
• b. False

14. A mandated reporter may take a child into protective custody without court order or parental consent in which of the following circumstances?

• a. Any time the child's life or health is potentially in danger
• b. So long as you have the cooperation of law enforcement
• c. When the child is in imminent danger and there is no time to get a court order for temporary removal
• d. At any time the child is in danger so long as you get the permission of your supervisor

15. Which statement about mandated reporting of child maltreatment and legal liability is true?

• a. Mandated reporters have little or no protection against legal liability.
• b. Mandated reporters who report in good faith have immunity from any liability, civil or criminal, that might result.
• c. Mandated reporters have immunity from liability even if their actions resulted from willful misconduct or gross negligence.
• d. Mandated reporters can endanger their employment and be held legally liable for reporting child maltreatment.