A nurse is discussing risk factors for child maltreatment with a newly licensed nurse. Which of the following examples should the nurse include?
A child who was conceived by in vitro fertilization
A toddler who has atopic dermatitis
An only child
A school-age child who has cerebral palsy
The Correct Answer is D
Rationale:
A. A child who was conceived by in vitro fertilization: Children conceived through IVF are typically highly desired and planned for, and families may invest significant emotional and financial resources into their care. This background generally reduces rather than increases the risk of maltreatment.
B. A toddler who has atopic dermatitis: Although chronic conditions can be stressful for caregivers, atopic dermatitis is relatively common and manageable. It does not significantly increase the risk of child abuse or neglect compared to more severe or demanding conditions.
C. An only child: Being an only child does not inherently increase the risk for maltreatment. Risk factors for abuse are more closely associated with caregiver stress, socioeconomic status, substance use, and the presence of physical or cognitive impairments in the child.
D. A school-age child who has cerebral palsy: Children with disabilities like cerebral palsy are at higher risk for maltreatment due to the physical, emotional, and financial stress their care may place on caregivers. These children often require more supervision and support, which can lead to frustration or neglect in high-risk environments.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. The client's length of facility stay: The duration of a client’s admission does not determine the appropriateness of delegation. Delegation decisions are based on the client’s current condition and the nature of the task, not how long they have been in the facility.
B. The AP's job description: Verifying the AP’s job description ensures the task falls within their authorized scope of practice. It helps confirm that the AP has the appropriate training and legal authority to carry out the delegated activity safely and competently.
C. The AP's years of experience: While experience may influence efficiency, it is not the primary factor in deciding what can be delegated. A newly trained AP may be competent for certain tasks, while years of experience do not guarantee suitability for all delegated care.
D. The client's age: Age alone does not dictate whether a task can be delegated. Delegation decisions depend more on the client's acuity, stability, and the complexity of care required, rather than demographic factors like age.
Correct Answer is B
Explanation
Rationale:
A. Orange juice: Orange juice contains minimal sodium and is typically recommended for clients needing low-sodium, high-potassium diets. It is not considered a significant source of sodium.
B. Canned green beans: Canned vegetables often contain added salt as a preservative, making them high in sodium. Unless labeled as low-sodium or no-salt-added, canned green beans are among the higher sodium food options.
C. Sweet potato: Sweet potatoes are naturally low in sodium and are more commonly recognized for their potassium and fiber content. They are suitable for low-sodium diets.
D. Cantaloupe: Cantaloupe is a low-sodium fruit, valued for its high water and potassium content. It is not a source of concern for clients with sodium restriction or imbalance.
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