You Suspect That a 6-Year-Old Female Patient with Multiple Bruises

question 46

Multiple Choice

You suspect that a 6-year-old female patient with multiple bruises and a broken wrist was abused.The stepmother states the patient fell down the stairs.The patient is crying and sheepishly nods in agreement with the stepmother's statements.How should you document this situation in the patient report?

• A) Document who you suspect caused the injuries in the narrative so law enforcement has a record of the incident.
• B) Document what was said as well as your opinion that the child was too afraid to tell the truth.
• C) Document only the actual exam findings. Do not document anything that was said.
• D) Document any pertinent information that was said by the stepmother and child exactly in quotations.

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Definitions:

Genital Response

Physical reactions of the genital organs in response to sexual stimulation.

Excitement Phase

The initial stage of the sexual response cycle, characterized by increased arousal and physiological preparation for sexual activity.

Genital Tissues

These are soft tissues that make up the genital organ's structure in both males and females.

Egodystonic Homosexuality

A disorder (not currently in use) in which the afflicted person is attracted to people of the same sex, but experiences conflict with his or her sexual orientation or wishes to change it.