A nurse is assessing a child and notes several bruises. Which of the following actions should the nurse take?

Ask a psychiatrist to talk with the parents.

Separate the child from the parents.

Report the suspected abuse to the authorities.

Obtain a detailed history.

Answer and Explanation

The Correct Answer is D

a. While involving mental health professionals can be part of a broader intervention plan, it is not the immediate priority in cases of suspected abuse. The nurse must first address the immediate safety concerns and follow the required reporting procedures.

b. Separating the child from the parents without proper authority or immediate threat can escalate the situation and may not be legally permissible. This action should be taken by authorities with the legal power to do so if deemed necessary.

c. Nurses are mandated reporters, which means they are legally required to report any suspected child abuse to the appropriate authorities immediately. This action ensures that the child’s safety is prioritized and that a proper investigation can be initiated however, obtaining a detailed history is the priority.

d. When a nurse observes several bruises on a child, the initial action should be to obtain a detailed history. This step allows the nurse to gather information about the circumstances surrounding the bruises, assess for any potential signs of abuse, and determine the most appropriate course of action.

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Correct Answer is C

Explanation

The American Academy of Pediatrics recommends that infants be placed on their backs to sleep to reduce the risk of SIDS1.
Choice A is not an answer because there is no direct correlation between SIDS and diphtheria, tetanus, and pertussis vaccines

A. Family conﬂict. B. Homosexuality. C. Availability of firearms. D. Active psychiatric disorder.

Correct Answer is D

Explanation

Having a psychiatric disorder, such as depression, anxiety disorder, or bipolar disorder, is a signiﬁcant risk factor for suicide in adolescents.
Choice A is not correct because while family conﬂict can be a contributing factor to suicide risk, it is not the greatest risk factor.
Choice B is not correct because homosexuality itself is not a risk factor for suicide; however, discrimination and bullying related to one’s sexual orientation can increase suicide risk.
Choice C is not correct because while the availability of ﬁrearms can increase the likelihood of a completed suicide attempt, it is not the greatest risk factor for suicide.

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A nurse is assessing a child and notes several bruises. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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