Physical Examination
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Questions and Answers

At what age do children start understanding the significance of events and can begin to accurately answer related questions?

  • 5 years
  • 6 years (correct)
  • 7 years
  • 3 years
  • What difficulty do children between 3 and 7 years old often face?

  • Estimating the time that has passed since an event (correct)
  • Accurately recounting events
  • Differentiating truth from falsehood
  • Understanding complex questions
  • Why might sensory aids be used in a court of law when a child is giving a testimony?

  • To measure the child's truthful responses
  • To support the child emotionally
  • To evaluate the child's cognitive development
  • To help the child recall memories (correct)
  • What should be included in a court report about a child?

    <p>A summary of relevant information from social enquiry reports</p> Signup and view all the answers

    Which group of professionals is most likely to refer children with emotional, interpersonal, and conduct disorders to a child psychiatrist?

    <p>General practitioners</p> Signup and view all the answers

    What is a common challenge faced by children under 6 years of age?

    <p>Expressing thoughts coherently</p> Signup and view all the answers

    Why is it important to listen carefully during a child's description of an event?

    <p>To gather information about the event and its timing</p> Signup and view all the answers

    What factor may affect the reliability of children's frightening memories in a courtroom?

    <p>Heightened emotional magnifications</p> Signup and view all the answers

    What should you do when interviewing a child who is a possible victim?

    <p>Ensure there is evidence the interviewer should be aware of</p> Signup and view all the answers

    What is important when a child psychiatrist is preparing a court report?

    <p>Explaining the evidence from various positions</p> Signup and view all the answers

    What aspect is often emphasized during a basic physical examination of a child?

    <p>Nervous system</p> Signup and view all the answers

    What should be considered when observing a child's behavior during a physical examination?

    <p>Their behavior during play</p> Signup and view all the answers

    Who might be needed if a significant neurological problem is suspected in a child?

    <p>A pediatric neurologist</p> Signup and view all the answers

    When should a child be examined by the general practitioner?

    <p>Monthly</p> Signup and view all the answers

    What is the role of the psychiatrist at the end of the assessment?

    <p>To explain the findings to the parents</p> Signup and view all the answers

    Study Notes

    Physical Examination

    • A physical examination is conducted to complete the assessment, depending on the problem's nature and potential impact on the child's appearance.
    • Observing the child's behavior during play is essential to gather evidence of signs.
    • A basic physical examination may include an emphasis on the nervous system.
    • If a significant neurological problem is suspected, a pediatrician or pediatric neurologist may be needed.

    Assessing Children's Accounts of Events

    • Interviewers should be aware of the child's limitations when discussing events, such as difficulty estimating time and remembering past events.
    • Children between 3-7 years old have trouble with time and cognitive skills.
    • Children under 6 years old may struggle to accurately remember past events and may need help to describe them.
    • Children around 6 years old can understand the significance of an event and accurately answer questions.
    • However, they may still have difficulty with accurate accounts of timing due to their ongoing development.
    • In a court of law, sensory aids can be used to activate memories.
    • Complex questions can confuse children under 6 years old.

    Court Report About a Child

    • A court report should include:
      • The qualifications of the writer and their training
      • A summary of the findings from the interview with the child
      • Relevant information from social enquiry reports
      • The author's evaluation of the importance of the findings
      • The strength and weaknesses of contextual factors
      • Thorough explanations of evidence used from the child, family, and wider environment

    Psychiatric Treatment for Children and Their Families

    • Treatment for children involves addressing general features, as well as specific disorders.
    • Developmental difficulties, psychological complications of physical illness, and emotional, interpersonal, and conduct disorders are common reasons for referral to a child psychiatrist.
    • The primary care team plays a crucial role in identifying children who need referral to a psychiatrist or pediatrician.

    The Role of the Primary Care Team

    • General practitioners and other primary care team members often encounter children with concerns about their behavior, but only refer a small proportion to a psychiatrist or pediatrician.
    • General practitioners are more likely to refer children with presenting problems, such as emotional or interpersonal issues.

    The Psychiatric Team

    • The psychiatric team involves a range of professionals, including psychiatrists, psychologists, family therapists, and nurses.
    • They work together to provide comprehensive support for children and their families.

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    Description

    Learn about the importance of physical examination in pediatric assessment, including observing behavior and signs, and its significance in diagnosis.

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