TeachME Professional Development

Caring For Children Who Have Been Sexually Abused

What is Child Sexual Abuse

1. Child sexual abuse is any interaction between a child and an adult (or another child) in which the child is used for the sexual stimulation of the perpetrator or an observer, and it can include both touching and non-touching behaviors.

A. True B. False

Why Don't Children Tell About Sexual Abuse?

2. The authors state that there are many reasons children do not disclose being sexually abused, including each of the following EXCEPT:

A. Threats of bodily harm to the child and/or the child's family B. Fear of being removed from the home or of not being believed C. Fear of harming their relationship with the abuser, with whom they may feel connected D. Shame or guilt

Child Sexual Abuse Myths and Facts

3. Retrospective research indicates that as many as 1 out of 5 girls and 1 out of 8 boys will experience some form of sexual abuse before the age of 18.

A. True B. False

Questions & Answers about Child Sexual Abuse

4. Sexual activity between two children would generally be considered abusive when there is a clear power difference between them and one child is coercing the other, usually to engage in adult-like sexual behavior.

A. True B. False

Signs of Post-Traumatic Stress Reactions

5. A child who is displaying symptoms of post-traumatic stress reactions may keep seeing mental images linked to the abuse, or relive some aspects of it, either while awake or during sleep in the form of nightmares, which is known as:

A. Recalling B. Revoking C. Reexposing D. Reexperiencing

Long-Term Impact

6. Sexual abuse tends to occur in the presence of other forms of child maltreatment and life adversity, all of which can have wide-reaching and long-lasting effects on an individual's physical and mental health.

A. True B. False

Healing and Recovering Together

7. One approach to treatment for victims of sexual abuse that involves parents and children, and that has received considerable scientific support, is Family-Systems Solution Focused Therapy.

A. True B. False

Disclosure

8. Which of the following is NOT an accurate general statement about disclosure of childhood sexual abuse?

A. Boys are more likely to disclose than girls B. School-aged children tend to tell a caregiver C. Adolescents are more likely to tell friends D. Very young children tend to accidentally reveal abuse, because they don't have as much understanding of what occurred or the words to explain it

When Children Recant Their Disclosure

9. Although recantation is common among children who disclose sexual abuse, most children were telling the truth when they originally disclosed, but may have later had mixed feelings about their abuser and about what has happened as a result of the disclosure.

A. True B. False

Coping with the Shock of Intrafamilial Sexual Abuse

10. Intrafamilial sexual abuse may effect children by:

A. If the child feels that the abuser is liked or even loved by other family members, it will likely be more difficult to tell others about the abuse B. Children who have been abused by a family member are more likely to blame themselves for the abuse than those who are abused by someone outside the family unit C. It may take them weeks, months, or longer to let anyone know that they've been abused, and even longer to reveal all the details D. All of the above

Cultural Challenges

11. In cultures that place a high value on female virginity, a girl who has been sexually abused may feel that she has been disgraced and is now "damaged goods" whom no one would want to marry, which may lead to:

A. Self-harm or withdrawal from members of the community B. Feelings of shame that in turn lead to further secrecy C. Acting out as a means of escape D. Questioning of loyalty, justice, and faith

Coping with Your Own Reactions

12. For many parents, it is much easier to believe that abuse has occurred when the victim is an adolescent rather than a very young child, probably because adolescents are much more capable of understanding and articulating what has happened.

A. True B. False

13. When parents are experiencing anger, doubt, and confusion about their child's abuse, the authors recommend each of the following EXCEPT:

A. Believing your child, which means facing the fact that a person you have trusted and loved has betrayed, lied to, and used you and your child B. Letting go of anger, which means redirecting your anger away from your child and toward the person who perpetrated the abuse C. Letting go of feeling like you have the power to fix or control the situation, or that it is about you D. Letting go of feeling betrayed by recognizing the real source of the betrayal-the perpetrator

Moving Forward

14. Non-offending parents are the single most important resource that children have after they have experienced intrafamilial abuse, and reporting sexual abuse that has been perpetrated by a family member is the best thing they can do to help the entire family heal, including the person who perpetrated the abuse.

A. True B. False

Acquaintance Rape

15. Acquaintance rape is very common, and in some surveys, as many as one in five young women reported being verbally or physically pressured into having sex during the past year.

A. True B. False

What Should I Do if My Teen is a Victim of Acquaintance Rape

16. Although parents may be angry that their teen may have been engaging in risky or inappropriate behavior when they experienced the acquaintance rape, parents should stay calm, get medical attention, and contact law enforcement.

A. True B. False

Preventing Acquaintance Rape

17. Which of the following accurately describes drugs that may be used in acquaintance rape?

A. Rohypnol is a depressant that causes vomiting, dizziness, amnesia, heart problems, and in some cases, coma B. Gamma-hydroxybutyrate (GHB) is a sedative that may cause relaxation or sleepiness, slowed reaction times, reduced ability to focus, and headaches C. Zolpidem is a neuroleptic which interferes with blood circulation, motor coordination, and balance D. Ketamine is an animal tranquilizer that can cause delirium, loss of memory, depression, and long-term memory and cognitive difficulties

What Do I Do Now?

18. Experts report that 23% of rape victims are assaulted by their boyfriends, 31% are sexually assaulted by relatives, and 35% of acquaintance rape victims are 14-17 years old.

A. True B. False

Common Reactions to Acquaintance Rape

19. For victims, the experience of being raped by someone they thought they could trust can bring up a wide range of complicated emotions, including guilt, self-doubt, and worries that the rape was somehow their fault, so working through these feelings is an important part of the healing process, and will help them to move on with their lives.

A. True B. False

Sexual Development and Behavior in Children

20. Common sexual behaviors for preschool children less than four years old include exploring and touching private parts in public and in private, trying to touch their mother's or other women's breasts, showing private parts to others and:

A. Mimicking dating behavior such as kissing or holding hands B. Asking questions about their own and others' bodies and bodily functions C. Talking about private parts and using "naughty" words, even when they don't understand the meaning D. Exploring private parts with children their own age

21. Sexual behavior problems that indicate more than harmless curiosity include any act that is clearly beyond the child's developmental stage, involves threats, force, or aggression, involves children of widely different ages or abilities, and provokes strong emotional reactions.

A. True B. False

22. For school-aged children, safety information includes how to maintain safety and personal boundaries when chatting or meeting people online, that sexual abuse may or may not involve touch, dating rules, and:

A. That sexual abuse is NEVER the child's fault B. It is sexual abuse even if it is by someone you know C. The risks of sexual activity include pregnancy and sexually transmitted diseases D. How to recognize and avoid risky social situations

Understanding and Coping with Sexual Behavior Problems in Children

23. Although no one knows how many children develop sexual behavior problems during their lives, it is known that sexual behavior problems are not limited to any particular group of children, occur in children across all age ranges, socioeconomic levels, cultures, living circumstances, and family structures, and these issues are not related to children's sexual orientation.

A. True B. False

24. Children with sexual behavior problems often show other behavioral and social difficulties, including each of the following EXCEPT:

A. Problems making friends their own age and a tendency to play with much older and more sophisticated children B. Impulsiveness and a tendency to act before they think C. Difficulties following rules and listening to authority figures at home, in school and in the community D. A limited ability to self soothe, so they may touch their own genitals as a way to release stress and calm down

25. One study that followed a group of children for 10 years after they were treated for sexual behavior problems found that the vast majority (88%) did not commit sexual offenses of any kind, and the group as a whole was only slightly more likely to commit sexual offenses than children with a past of only nonsexual behavior problems.

A. True B. False

Sexual Behavioral Problems: Keeping All Children Safe

26. If a child has sexually acted out with another child in the home, parents will need to consider the safety and well being of all the children when deciding what course of action to take.

A. True B. False

Child Sexual Abuse: Coping with the Emotional Stress of the Legal System- Common Concerns about Taking Legal Action

27. For children or adolescents who have been sexually abused, participation in a criminal prosecution or a civil suit can be a critical part of the healing process, as it assures them that there are people who support them and believe them, and that they are trying to make sure the offender is held responsible for what was done.

A. True B. False

Coping with the Court Process: Step by Step

28. In a court case, the judge may appoint a person appointed to advocate for the best interests of the child in a particular case, known as a "guardian ad litem" which means 'guardian in lieu" of an appropriate caretaker.

A. True B. False

29. During the court process, the child or adolescent may be forced to talk about the abuse with people who are complete strangers, which can lead to a number of difficult reactions, including conflicted feelings about the abuser, guilt, embarrassment, and:

A. Regret B. Self-doubt C. Fear D. Betrayal

Tips for Helping Children Cope with the Stress of a Trial

30. During a trial, a child will likely be experiencing numerous stressors, so parents may have to be flexible about routines and expectations, as trying to maintain schoolwork, chores, and behavioral expectations during this time may cause additional distress.

A. True B. False


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