A community mental health nurse is assigned to visit the home of a child, aged 11 years, to
investigate his frequent school absences. The nurse finds the child caring for his siblings, aged 4
months, 1
1
2
years, and 3-year-old twins.
Both parents are at work. The house is cluttered and dirty.
The child tells the nurse he would like to attend school regularly, but whenever his mother is called
to work at her part-time job, he must watch the kids because the family cannot afford to pay a
babysitter. He mentions that it does not make a difference anyway, because he is "too dumb to learn
much." He adds "I don't have any friends at school, probably because I don't deserve any.". Based
on the information obtained thus far, what preliminary assessment can be made?
a. Insufficient data are present to make an assessment.
b. The child and his siblings are experiencing neglect.
c. The children are at high risk for sexual abuse.
d. The children are experiencing physical abuse.
B
The child is experiencing educational neglect when his parents deprive him of the opportunity to
attend school. It is possible that the other children may be experiencing physical neglect, but more
data should be gathered before making the actual assessment. Options C and D: The information
presented does not indicate high risk for sexual abuse, and no hard evidence of physical abuse is
present.
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