In general, healthy families are able to adapt to changes within the family unit; however, some factors add to the usual stress experienced by any family. The nurse is in a unique position to assess the child for symptoms of neglect

Question

Which high-risk family situation places the child at the greatest risk for being neglected? a. Marital conflict and divorce
b. Adolescent parenting
c. Substance abuse
d. A child with special needs

Answer 1

C
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A Although divorce is traumatic to children, research has shown that living in a
home filled with conflict is also detrimental. In this situation conflict may arise
and young children may be unable to verbalize their distress; however, the child
is not likely to be neglected.
B Teenage parenting often has a negative effect on the health and social outcomes
of the entire family. Adolescent girls are at risk for a number of pregnancy
complications, are unlikely to attain a high level of education, and are more
likely to be poor.
C Parents who abuse drugs or alcohol may neglect their children because obtaining
and using the substance(s) may have a stronger pull on the parents than the care
of their children.
D When a child is born with a birth defect or has an illness that requires special
care, the family is under additional stress. These families often suffer financial
hardship as health insurance benefits quickly reach their maximum.