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Psychosocial Integrity · Multiple choice · Recognize cues

Which finding in a young child may indicate sexual abuse?

Show answer and rationale

Correct answer: B

Sexual knowledge or behavior beyond the child's developmental level, genital injuries, and sudden behavior changes are concerning signs that warrant further evaluation and reporting.

Source: AAP. Clinical Report: The Evaluation of Children in the Primary Care Setting When Sexual Abuse Is Suspected

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This question is one of 80 Psychosocial Integrity items in NCLEXSim. On the NCLEX-RN, this category makes up 6–12% of the exam.

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Study tip
  • Practice therapeutic communication: pick the response that explores feelings, reflects, or stays with the client; reject 'why' questions, false reassurance, and advice.
  • Safety first in psych: any hint of suicide gets a direct question about intent and a plan.

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