Abuse Case 3 You have been assigned to care for the Ross family The family has just had triplets three girls The girls were premature but after two months in the hospital they are now home There are two older children in the family Ray age 2 and Lori age 5 Although maternal and paternal grandparents are all living they reside 1600 km away and cannot visit to help The family appears to be loving and close knit The parents seem very happy with the new additions although they admit that the birth of three was very much a surprise You have been with the family for two months and over time have noticed a change in Ray He seems less able to run as steadily as he did before As well he seems to be using more baby talk not speaking words as clearly as he once did He also seems to be more fearful shown through how easily he is startled and he hides when he accidentally spills anything Today is your day off You find yourself in the Ross s neighborhood and decide to say hello As you go up to the door you see Mrs Ross violently shaking her son She is visibly upset and is speaking to him in a loud and angry sounding voice 1 Identify two behaviors in Ray that indicate that he may be being abused 2 What action is appropriate for the PSW to take in this situation Why 3 What factors may have contributed to Mrs Ross s actions behaviors