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 A
Explanation
A. Anxiety and diaphoresis: Anxiety and diaphoresis (excessive sweating) are common symptoms of alcohol withdrawal, along with tremors, agitation, and insomnia.
B. Muscle aches and chills: Muscle aches and chills are not typical symptoms of alcohol withdrawal. They are more associated with other conditions, such as infections.
C. Arrhythmia and respiratory depression: While severe alcohol withdrawal can lead to arrhythmias, respiratory depression is not a common symptom of alcohol withdrawal.
D. Fatigue and depression: Fatigue and depression may occur after the acute withdrawal phase but are not primary symptoms of initial alcohol withdrawal.
Correct Answer is A
Explanation
A. Planning to give his CD collection to his girlfriend: Giving away prized possessions is a common warning sign of suicidal intent, indicating that the person is preparing for their absence.
B. Preferring to eat his meals while watching TV: This behavior is relatively normal and does not necessarily indicate suicidal intent.
C. Stating that he wants to be with his peers more than with his parents: Wanting to spend time with peers is typical for adolescents and does not specifically indicate suicidal intent.
D. Telling his parents that he doesn't want to talk about the attempt: Not wanting to discuss the attempt could be due to embarrassment, guilt, or other reasons, but it is not as direct an indicator of ongoing suicidal intent as giving away possessions.
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