A nurse on a medical-surgical unit is caring for a group of children. Which of the following findings should alert the nurse that one of the children is a potential victim of abuse?

A preschooler who has a BMI indicating obesity

A school-age child who cries when the nurse is giving him an injection

An adolescent who asks to stay in the hospital because he likes the room

A toddler who has multiple bruises on the shins of both legs and his parents report that he is clumsy

Answer and Explanation

The Correct Answer is C

A. While childhood obesity is a health concern, it is not a specific indicator of abuse. Obesity can result from dietary habits, lack of physical activity, or medical conditions.

B. Fear of injections is common in children and is a typical developmental response. Crying during an injection is not an indicator of abuse and is expected behavior for many children.

C. While this finding alone does not confirm abuse, it may indicate an underlying issue in the adolescent's home environment. It requires further exploration through careful, open-ended questioning to assess for potential emotional or physical abuse or neglect.

D. Bruising on the shins of toddlers is common due to normal play and falls during development. The explanation provided by the parents aligns with typical toddler behavior and does not raise immediate concerns for abuse unless the bruises are in unusual locations (e.g., abdomen, back, or thighs).

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Correct Answer is A

Explanation

Explanation:

A. Nonmaleficence: This ethical principle emphasizes the duty of healthcare professionals to avoid causing harm to patients. It involves refraining from actions that could potentially harm the patient, whether physical, emotional, psychological, or social. Nonmaleficence is about acting in a way that promotes the well-being and safety of patients and avoiding actions that could result in harm or injury.

B. Fidelity: Fidelity pertains to the faithfulness, loyalty, and honoring of commitments and promises made to patients. It involves maintaining trust and being truthful in interactions with patients.

C. Beneficence: Beneficence involves the obligation to do good and promote the well-being of patients. It includes actions aimed at benefiting patients, such as providing effective treatments, interventions, and support to improve their health outcomes and quality of life.

D. Justice: Justice relates to fairness and equality in healthcare. It involves the fair distribution of resources, allocation of care, and treatment decisions without discrimination or bias, ensuring that all patients receive equitable care based on their needs and circumstances.

A. Have a pen and paper. B. Use intermittent eye contact. C. Sit side-by-side with the client. D. Lean back in the chair.

Correct Answer is B

Explanation

Explanation:

A. Have a pen and paper.

Having a pen and paper can be helpful during the conversation as it allows the nurse to jot down important points, keywords, or reminders. However, it's not directly related to active listening itself but can aid in retaining and recalling information.

B. Use intermittent eye contact.

Intermittent eye contact is a crucial aspect of active listening. It shows that the nurse is engaged and attentive to the client's communication. However, it's essential to maintain a balance and avoid prolonged staring, which can be perceived as intimidating or intrusive.

C. Sit side-by-side with the client.

Sitting side-by-side with the client can create a sense of partnership and equality in the conversation. It can also help in establishing a comfortable and open environment for communication, which is beneficial for active listening.

D. Lean back in the chair.

Leaning back in the chair can convey a relaxed and open posture, which can contribute to a positive communication atmosphere. However, it's crucial to maintain an attentive posture and avoid appearing disinterested or unengaged.

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A nurse on a medical-surgical unit is caring for a group of children. Which of the following findings should alert the nurse that one of the children is a potential victim of abuse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with teaching a class on ethical principles. The nurse should include that protecting a client's safety by not causing harm refers to which of the following ethical principles?

Correct Answer is A

Explanation

A nurse is caring for a client and using active listening skills. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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