A school nurse is examining a child who has a toothache and bruises on both knees.
Which of the following observations should the nurse report as a potential sign of maltreatment at home?

The child is receiving free lunches at school.

The child has recently started experiencing urinary incontinence.

The child has a history of frequent absences from school.

The child appears to be underweight for their age.

Answer and Explanation

The Correct Answer is C

Choice A rationale

While receiving free lunches at school may indicate a low-income status, it does not necessarily suggest maltreatment at home. Many schools offer free or reduced-price lunches to students from low-income families to ensure they receive proper nutrition.

Choice B rationale

Urinary incontinence in a child could be due to various reasons, including medical conditions or stress. While it could potentially be a sign of maltreatment, it is not a definitive indicator and would need to be evaluated in the context of other signs and symptoms.

Choice C rationale

Frequent absences from school can be a potential sign of maltreatment at home. Children who are being maltreated may be kept home to hide physical signs of abuse, or they may be truant due to a lack of parental supervision or a chaotic home environment.

Choice D rationale

Being underweight for their age could be a sign of neglect, one form of maltreatment. However, it could also be due to a variety of other factors, including medical conditions or poor nutrition, and should be evaluated in the context of other signs and symptoms.

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Correct Answer is D

Explanation

Choice A rationale

This statement indicates a concern about financial stability, which is a valid concern but does not necessarily indicate adaptation to the caregiver role.

Choice B rationale

While rearranging furniture to accommodate a walker is a positive step towards creating a safe environment for the client, it does not necessarily indicate that the caregiver has fully adapted to their new role. It shows an effort to modify the physical environment, but adaptation to the caregiver role involves more than just physical changes.

Choice C rationale

Apologizing for the dishes piling up in the kitchen sink may indicate feelings of overwhelm or stress, which are common in new caregivers. However, this statement does not necessarily indicate adaptation to the caregiver role.

Choice D rationale

This statement indicates that the caregiver is taking steps to maintain their own well-being while also caring for their loved one. By arranging for a neighbor to come over so they can take time for themselves, the caregiver is demonstrating an understanding of the importance of

self-care in their new role. This is a key aspect of adapting to the caregiver role.

A. Organize a program to promote skateboard safety. B. Lobby for funding for health promotion efforts. C. Teach a class about the risks of cigarette smoking. D. Recommend a seating arrangement for a child in a body cast.

Correct Answer is C

Explanation

Choice A rationale

Organizing a program to promote skateboard safety is a primary prevention activity. It aims to prevent injuries by educating students about safe skateboarding practices before any injury occurs.

Choice B rationale

Lobbying for funding for health promotion efforts is an important activity for a school nurse, but it is not a primary prevention activity. Primary prevention activities are those that prevent disease or injury before it ever occurs.

Choice C rationale

Teaching a class about the risks of cigarette smoking is a primary prevention activity. It aims to prevent the initiation of smoking by educating students about its risks before they start smoking.

Choice D rationale

Recommending a seating arrangement for a child in a body cast is not a primary prevention activity. This is a form of tertiary prevention, which aims to help people manage long-term health problems and to improve their quality of life.

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A school nurse is examining a child who has a toothache and bruises on both knees.Which of the following observations should the nurse report as a potential sign of maltreatment at home?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home health nurse is visiting with a client who is recovering from a stroke. The client’s adult child has taken on the role of caregiver.Which statement indicates they are adapting to their role change?

Correct Answer is D

Explanation

A school nurse is planning primary prevention activities for the upcoming school year. Which of the following should be included in the nurse’s plan? (Select all that apply)

Correct Answer is C

Explanation

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A school nurse is examining a child who has a toothache and bruises on both knees.
Which of the following observations should the nurse report as a potential sign of maltreatment at home?