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

Wide-angle glaucoma is a type of eye condition that can affect vision, but it is not typically associated with an increased risk of falls.

Choice B rationale

Chronic kidney disease can have many effects on the body, but it is not typically identified as a direct risk factor for falls.

Choice C rationale

Chronic obstructive pulmonary disease (COPD) can cause shortness of breath and fatigue, which could potentially contribute to instability. However, it is not one of the most common conditions associated with an increased risk of falls.

Choice D rationale

Osteoarthritis can cause pain and stiffness in the joints, which can lead to mobility issues and an increased risk of falls. Therefore, a nurse should identify osteoarthritis as a condition that increases a client’s risk for falls.

A. Determine the prevalence of smoking in the community. B. Formulate objectives for the smoking cessation program. C. Gain community support for the program. D. Evaluate the methods of successful smoking cessation programs.

Correct Answer is A

Explanation

Choice A rationale

The first action to take in the initial phase of planning a smoking cessation program should be to determine the prevalence of smoking in the community. This is important because it helps to understand the magnitude of the problem and the potential impact of the program. It also helps in setting realistic goals for the program and in securing funding and other resources.

Choice B rationale

While formulating objectives for the smoking cessation program is an important step, it should come after determining the prevalence of smoking in the community. The objectives should be based on the needs and characteristics of the target population, which can only be understood by first assessing the prevalence.

Choice C rationale

Gaining community support for the program is crucial for its success. However, this should come after the prevalence of smoking has been determined and objectives for the program have been formulated.

Choice D rationale

Evaluating the methods of successful smoking cessation programs can provide valuable insights for planning the program. However, this should not be the first action. The first step should be to understand the extent of the problem in the community.

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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 assessing the health history of a new client.Which of the following conditions should the nurse identify as increasing the client’s risk for falls?

Correct Answer is D

Explanation

What is the first action to take in the initial phase of planning a smoking cessation program?

Correct Answer is A

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?