A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?

A child whose parents answer questions for the child.

A child who has frequent visitors

A child who uses the call light frequently

A child who has a BMI indicating obesity

Answer and Explanation

The Correct Answer is A

A. A child whose parents answer questions for the child. This behavior may indicate that the child's parents are controlling or dominating, possibly preventing the child from expressing their own thoughts or feelings. It could be a sign of emotional or psychological abuse, where the child's autonomy and voice are suppressed.

B. A child who has frequent visitors: While frequent visitors may raise concerns about the child's social environment, it does not necessarily indicate abuse. Further assessment would be needed to determine the nature of these visits and their impact on the child's well-being.

C. A child who uses the call light frequently: Frequent use of the call light may indicate physical discomfort, illness, or anxiety, but it does not inherently suggest abuse. It could be related to the child's medical condition or emotional state.

D. A child who has a BMI indicating obesity: Obesity alone is not indicative of abuse. While it may raise concerns about the child's health and well-being, it does not directly point to abuse unless there are additional signs or symptoms suggestive of neglect or mistreatment.

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Correct Answer is B

Explanation

A. Vary the child's schedule each day: While some variation in activities may be beneficial, providing a stable and predictable routine can also promote a sense of security and stability for the child during hospitalization.

B. According to Erikson's psychosocial development theory, the psychosocial stage for a 10- year-old child is industry versus inferiority. During this stage, children are developing a sense of competence by mastering new skills and tasks. Encouraging the child to complete school work supports this developmental stage by fostering a sense of accomplishment and competence. It

also helps maintain a sense of normalcy and continuity with academic activities despite the hospitalization.

C. Discourage visits from the client's friends: Social interaction with peers is important for the child's emotional well-being and development. Discouraging visits from friends would likely have a negative impact on the child's psychosocial needs during hospitalization.

D. Provide a daily session with a play therapist: While play therapy may be beneficial for addressing emotional needs, it may not directly address the child's psychosocial development according to Erikson's theory. Encouraging completion of school work aligns more closely with the developmental tasks of this stage.

A. "Maintain a firm set of rules." B. Try to be open to his views." C. "Remind him that he is still your little boy." D. "Find out if his friends are worthy of him."

Correct Answer is B

Explanation

A. "Maintain a firm set of rules."

While having rules is important, maintaining a rigid approach without considering the adolescent's perspective can lead to conflict and resistance. Adolescents often appreciate having a voice and being heard.

B. Try to be open to his views."

This option acknowledges the importance of valuing the adolescent's opinions and perspectives. Encouraging open communication fosters trust and mutual respect between parents and their adolescent children.

C. "Remind him that he is still your little boy."

Using this approach may unintentionally undermine the adolescent's growing sense of

independence and identity. It's essential to recognize and respect their transition into young adulthood.

D. "Find out if his friends are worthy of him."

While it's important to be aware of the adolescent's social circle, framing it in terms of the

friends being "worthy" may come across as judgmental. It's more effective to focus on fostering healthy relationships and providing guidance on making positive social choices.

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A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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