A school nurse is examining the family history of a school-age child who has fractured their ulna for the second time. Which of the following findings place the child at risk for child abuse? (Select all that apply.)
One of the child’s parents appears frightened of the other parent.
One of the child’s parents has a history of alcohol use disorder.
The child spends the weekends with their grandparents.
Neither of the child’s parents are financially stable.
The child’s family has an indoor cat that sleeps with the child.
Correct Answer : A,B,D
Choice A rationale
If one parent appears frightened of the other, it could indicate a situation of domestic violence or abuse in the home. Children living in such environments are at increased risk of abuse.
Choice B rationale
A parent’s history of alcohol use disorder can increase the risk of child abuse. Substance abuse can impair a parent’s judgment and ability to care for a child, leading to neglect or abuse.
Choice C rationale
The fact that a child spends weekends with their grandparents does not inherently place them at risk for child abuse.
Choice D rationale
Financial instability can create stress and frustration, which can increase the risk of child abuse.
Choice E rationale
Having an indoor cat that sleeps with the child does not inherently place them at risk for child abuse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
The statement about only going to the hospital if the client stops breathing is incorrect. Palliative care is not limited to end-of-life care and does not restrict hospital visits to only life- threatening situations. It is a comprehensive approach to treatment that focuses on improving quality of life for patients and their families, addressing physical, psychosocial, and spiritual problems.
Choice B rationale
The statement about needing to stop treatments for cancer before beginning palliative care is incorrect. Palliative care can be provided alongside curative treatment and is not dependent on the cessation of other treatments. It is designed to alleviate symptoms and improve quality of life at any stage of illness, not just at the end of life.
Choice C rationale
The statement about having about 6 months or less to live if the oncologist recommends palliative care is incorrect. Palliative care is not only for end-of-life situations. It can be introduced at any stage of illness, even at the same time as treatment aimed at curing the disease. The goal of palliative care is to improve quality of life by providing relief from the symptoms and stress of the illness.
Choice D rationale
The statement about the purpose of palliative care being to provide comfort measures for cancer is correct. Palliative care aims to relieve symptoms and improve the quality of life for patients with serious illnesses, including advanced-stage lung cancer. It can help manage
symptoms such as pain, shortness of breath, fatigue, nausea, loss of appetite, problems with sleep, and emotional issues like anxiety and depression.
Correct Answer is A
Explanation
Choice A rationale
The first action when planning a program on early detection of breast cancer for employees at a local business should be to determine the employee’s knowledge level of breast self- examination. This is crucial because the effectiveness of the program will depend on the current understanding and practices of the employees. If the employees already have a good understanding of breast self-examination, the program can focus more on other aspects such as the importance of regular check-ups and early detection. However, if the employees have limited knowledge about breast self-examination, the program should prioritize teaching this skill.
Choice B rationale
While scheduling a guest speaker to talk about breast cancer to employees can be an effective way to provide information and motivate employees, it should not be the first action.
Understanding the employees’ current knowledge and practices should come first to tailor the program effectively.
Choice C rationale
Developing educational materials for employees is an important part of a breast cancer early detection program. However, these materials should be developed based on the needs and current understanding of the employees, which is why determining the employees’ knowledge level of breast self-examination should come first.
Choice D rationale
Having breast models available to employees during teaching sessions can be a useful tool for demonstrating breast self-examination. However, this should not be the first action. The first step should be to assess the employees’ current knowledge and practices.
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