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
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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Related Questions
Correct Answer is D
Explanation
A. Change the routine of the preschooler often to stimulate initiativE. While providing variety and new experiences is important for stimulating a child's curiosity and creativity, abruptly changing routines too often can disrupt the child's sense of security and stability. Consistency in routines helps preschoolers feel secure and understand expectations.
B. Do not set limits on the preschooler's behavior as this results in low self-esteem: Setting appropriate limits and boundaries is essential for preschoolers to develop a sense of security and learn socially acceptable behavior. However, overly strict or rigid limits can stifle initiative and creativity. It's important for parents to strike a balance between setting limits and allowing for exploration and initiative.
C. As a parent, decide how and with whom the child will play: Encouraging preschoolers to
make their own choices about play activities and playmates fosters independence and initiative. Parents should provide opportunities for free play and exploration within safe boundaries,
allowing the child to make decisions and learn from their experiences.
D. Reward the child for initiative in order to build self-esteem: Positive reinforcement for initiative-taking behavior encourages preschoolers to explore their environment, try new
activities, and develop confidence in their abilities. By praising and acknowledging their efforts, parents can help build their child's self-esteem and motivation to take on new challenges.
Correct Answer is C
Explanation
A. Developmental age is an important aspect of the child's health but is not the primary focus of a physical examination following a health history.
B. While the parents' information is valuable, the focus of the physical examination is on the child, not the parents.
C. The child should be the focus of the physical examination to assess their current health status and to identify any immediate care needs.
D. The chief complaint is a critical component of the health history, but the physical examination should be comprehensive and focused on the child as a whole
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