A nurse in an emergency department is caring for a child who reports being sexually abused by a family member. Which of the following actions should the nurse take?
Reassure the child that no one will be told about the abuse.
Use leading statements to obtain information from the child.
Explain to the child what will happen when the abuse is reported.
Ensure that multiple nurses are present for the physical examination.
The Correct Answer is C
A. The nurse must not promise confidentiality when abuse is suspected. Reporting is required by law, and the child should be informed of this.
B. Leading statements can influence the child’s response and should be avoided to ensure that information is accurately obtained.
C. Explaining the process to the child ensures that the child understands what will happen and can help alleviate anxiety about the situation.
D. While a supportive environment is important, the presence of multiple nurses during the physical examination could make the child feel uncomfortable. One nurse should be present to provide care and comfort.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Absence seizures typically have no aura.
B. Absence seizures are brief, usually lasting 10-30 seconds, not 30 to 60 seconds.
C. The onset of absence seizures is sudden and brief, not gradual.
D. Absence seizures often appear as brief lapses in attention, which can be mistaken for daydreaming.
Correct Answer is C
Explanation
A. Increased intake of milk products can exacerbate symptoms of irritable bowel syndrome in some clients.
B. Fructose corn syrup can worsen symptoms and is not recommended for clients with IBS.
C. Foods high in bran fiber are often recommended for IBS as they can help with bowel regularity and reduce symptoms.
D. Gluten is not beneficial for IBS and should be avoided if the client has gluten sensitivity.
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