Questions for Discussion

Chapter 9: Child and Adolescent Sexual Abuse

1: How does sexual abuse of a child or adolescent differ from the sexual assault of an adult?
2: What is the difference between statutory rape, sexual abuse, and sexual assault?
3: What are the special considerations in evaluating an adolescent victim of sexual abuse or rape?
4: How do children and adolescents who are victims of sexual abuse usually present in the healthcare setting?
5: What is the most effective method of obtaining a full disclosure of sexual abuse from a child?
6: Which disciplines are involved with the management of sexual abuse?
7: What determines the extent of a physical examination in a sexually abused child?
8: What are the components of the sexual abuse examination?
9: What techniques assist visualization of girls’ genitalia?
10: What are some actions that can be taken during the examination of a child or adolescent victim of sexual abuse or sexual assault to avoid retraumatization?
11: What are the usual findings in acute and nonacute sexual contact?
12: What determines the need for STD testing?
13: When should forensic evidence collection be performed?
14: What are the judicial proceedings that may follow a physical examination?
15: What factors do you think might account for the recent rise in the reported rates of sexual assault?
16: What conditions in an environment pose a risk for the sexual abuse of a child or adolescent?
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