A nurse recognizes unexplained fussiness and irritability in an infant, as well as unexplained injuries. The nurse should suspect which of the following?
Sexual abuse
Neglect
Munchausen syndrome by proxy
Shaken baby syndrome
The Correct Answer is D
A. Sexual abuse: While sexual abuse can cause physical and emotional symptoms, the combination of unexplained injuries and fussiness/irritability is more suggestive of physical trauma.
B. Neglect: Neglect involves failure to provide for the child's basic needs, which can lead to developmental issues, but is less likely to cause unexplained injuries.
C. Munchausen syndrome by proxy: Munchausen syndrome by proxy involves a caregiver fabricating or inducing illness in a child for attention. It can cause unexplained injuries, but the focus is more on medical symptoms.
D. Shaken baby syndrome: Shaken baby syndrome results from violently shaking an infant, leading to physical injuries, irritability, and fussiness. It fits the description of unexplained injuries and behavioral changes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Maintain eye contact until the behavior stops. Maintaining eye contact can be perceived as confrontational and may escalate the situation.
B. Tell the client her behavior is disappointing. Telling the client her behavior is disappointing is judgmental and not therapeutic.
C. Punish the client for the behavior. Punishing the client is not appropriate or therapeutic.
D. Leave the client's room. Leaving the room can help de-escalate the situation by removing the immediate trigger for the client's anger.
Correct Answer is D
Explanation
A. Secure with self: Abusers are often insecure and may have low self-esteem. They may project a false sense of confidence but are not truly secure with themselves.
B. Blames self for own problems: Abusers typically blame others for their problems and take little responsibility for their actions.
C. Control of emotions: Abusers often have poor control of their emotions, leading to aggressive and violent behaviors.
D. History of substance abuse: Substance abuse is commonly found in the history of abusers. It can exacerbate abusive behavior and reduce impulse control.
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