Case Study Questions - sexual abuseOnline version Here are 15 case study-based multiple-choice questions focused on identifying the emotional, behavioral, and physical signs and symptoms of sexual abuse. Each question presents a scenario followed by four options, with one correct answer for each. by Ncfc Belize 1 A 10-year-old child suddenly becomes withdrawn, avoids eye contact, and refuses to engage in activities they once enjoyed. What could be a potential emotional indicator of sexual abuse? a Anxiety and fear of strangers b Increased confidence in social situations c Desire for more independence d Strong attachment to peers 2 A teacher notices that a teenager has started wearing oversized clothing even during hot weather and avoids physical activities like swimming. What might this behavior indicate? a Normal teenage self-consciousness b A preference for a specific style c An attempt to hide physical injuries or changes d Interest in modesty for religious reasons 3 A parent observes their 6-year-old having frequent nightmares and wetting the bed after being fully potty trained. What is this an example of? a Regression in developmental milestones b Normal childhood fears c A response to academic stress d Seeking attention from parents 4 A child displays sudden, extreme fear of being left alone with a particular adult. What might this signify? a An overactive imagination b Dislike of the adult's personality c A possible history of abuse by that adult d A general preference for being around peers 5 A 15-year-old shows signs of self-harm, including cuts on their arms, and expresses feelings of worthlessness. Which of the following could be a cause? a Teenage rebellion b Bullying at school c Sexual abuse trauma d Lack of interest in schoolwork 6 A child suddenly begins using sexual language or demonstrating inappropriate sexual behavior for their age. What could this indicate? a Exposure to age-inappropriate content b Curiosity about biology c Sexual abuse or exploitation d Early onset of puberty 7 A caregiver notices frequent unexplained bruises and pain in a young child’s genital area. What is the most appropriate first step? a Assume it’s due to clumsiness b Discuss the findings with the child privately c Report the findings to the proper authorities d Ask the child’s teacher for more information 8 A teenager becomes overly compliant and excessively seeks approval from adults. This could indicate: a A strong desire to excel academically b A strategy to cope with a traumatic experience c A healthy respect for authority d A desire to build strong relationships 9 A 12-year-old has unexplained stomachaches and frequently visits the nurse’s office at school. What could this be a physical symptom of? a Stress or anxiety related to sexual abuse b Gastrointestinal issues due to poor diet c A way to avoid classwork d Lack of interest in physical activity 10 A child begins showing aggressive behavior, lashing out at peers and teachers. What might this indicate? a A behavioral phase related to puberty b Underlying anger due to sexual abuse c A need for disciplinary action d A natural competitive spirit 11 A young child expresses fear of going to sleep and avoids bedtime routines. This could indicate: a A fear of the dark b Anxiety due to trauma or abuse c General resistance to parental rules d A preference for staying up late 12 A parent notices their teenager suddenly abusing substances like alcohol or drugs. This behavior could suggest: a Peer pressure b An attempt to cope with trauma from sexual abuse c Curiosity about adult experiences d A reaction to academic stress 13 A 7-year-old avoids sitting down and complains of genital pain, but refuses to explain further. What is the most appropriate interpretation? a A possible infection or medical issue b A sign of potential sexual abuse c A normal reaction to minor discomfort d A strategy to avoid schoolwork 14 A teenager frequently has mood swings, cries without explanation, and avoids previously enjoyed social activities. This could be a sign of: a Normal hormonal changes during puberty b Depression caused by trauma such as sexual abuse c A response to academic pressure d Boredom with their current hobbies 15 A child becomes overly secretive about their activities and expresses a sudden distrust of adults. What might this behavior suggest? a A typical need for privacy b A coping mechanism for abuse c A sign of independence d A phase of teenage rebellion
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