A school nurse is reviewing the family history of a school-age child who has a fractured 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.

Neither of the child's parents are financially stable.

One of the child's parents has a history of alcohol use disorder.

The child spends the weekends with their grandparents.

Answer and Explanation

Correct Answer : A,B,C

Choice A reason: This is correct. One of the child's parents appearing frightened of the other parent may indicate domestic violence or intimidation in the family, which can increase the risk of child abuse and neglect¹².

Choice B reason: This is correct. Neither of the child's parents being financially stable may indicate economic stress or poverty, which can increase the risk of child abuse and neglect¹².

Choice C reason: This is correct. One of the child's parents having a history of alcohol use disorder may impair their judgment, impulse control, or ability to care for the child, which can increase the risk of child abuse and neglect¹².

Choice D reason: This is incorrect. The child spending the weekends with their grandparents may indicate a supportive extended family or respite for the parents, which can decrease the risk of child abuse and neglect¹.

Choice E reason: This is incorrect. The child's family having an indoor cat that sleeps with the child may indicate a positive attachment or comfort for the child, which can decrease the risk of child abuse and neglect¹..

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Correct Answer is D

Explanation

Choice A reason: The anthrax vaccine is ineffective following direct anthrax exposure is not a correct piece of information to include in the protocol. The anthrax vaccine can provide some protection against anthrax if given before exposure, but it cannot prevent or treat anthrax infection after exposure¹.

Choice B reason: Manifestations of anthrax infection appear within 3 days of exposure is not a correct piece of information to include in the protocol. The incubation period of anthrax varies depending on the route of exposure, but it can range from one day to several weeks. Inhalation anthrax usually has an incubation period of one to six days, but it can be longer².

Choice C reason: Prophylactic treatment should be provided to clients for 10 days following exposure to anthrax is not a correct piece of information to include in the protocol. Prophylactic treatment, or post-exposure prophylaxis (PEP), is the use of antibiotics to prevent anthrax infection in people who have been exposed to anthrax spores but do not have symptoms. PEP should be given for at least 60 days, or until the person receives three doses of the anthrax vaccine³.

Choice D reason: Ciprofloxacin should be administered to asymptomatic clients who were directly exposed to anthrax is a correct piece of information to include in the protocol. Ciprofloxacin is one of the antibiotics recommended by the CDC for PEP of anthrax. It can prevent anthrax infection in people who have inhaled anthrax spores but do not have symptoms. Ciprofloxacin should be given as soon as possible after exposure and continued for 60 days, or until the person receives three doses of the anthrax vaccine..

A. "I will use third person when conducting the presentation." B. "I will focus on medical facts instead of desired behaviors." C. "I will ensure the content is written at an 8th-grade level." D. "I will use a 16-point font when creating the handouts."

Correct Answer is C

Explanation

Choice A reason: Using third person can make the content less personal and engaging. Health literacy involves clear communication that resonates with the audience, which often means using a more direct and personal approach.

Choice B reason: Focusing solely on medical facts may not meet health literacy needs if the information does not translate into actionable behaviors for the audience. It's important to connect facts with actions people can take.

Choice C reason: Ensuring content is written at an 8th-grade reading level is a recognized standard for health literacy. It makes the information accessible to a wider audience, including those with varying levels of education.

Choice D reason: While using a 16-point font may improve readability, especially for those with visual impairments, it does not address the complexity of the language or the content's relevance to the audience's needs.

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A school nurse is reviewing the family history of a school-age child who has a fractured ulna for the second time. Which of the following findings place the child at risk for child abuse? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A public health nurse is developing a protocol for the treatment of inhalation anthrax in the event of widespread public exposure. Which of the following pieces of information should the nurse plan to include?

Correct Answer is D

Explanation

A nurse is instructing a newly licensed nurse about preparing educational documents for a primary prevention program. Which of the following statements by the newly licensed nurse indicates that health literacy needs are met?

Correct Answer is C

Explanation

A nurse is caring for a client who has terminal cancer and has decided to be discharged to receive palliative care at home. Which of the following statements made by the client indicates an understanding of palliative care management?

A community health nurse is discussing advance directives with a client. The nurse should identify that which of the following statements made by the client indicates an understanding of the purpose of advance directives?

A community health nurse is providing support to the caregiver of a client who has new onset dementia. Which of the following statements should the nurse make to the caregiver?

A home health nurse is providing teaching to a client who has diabetes mellitus about the proper disposal of insulin syringes. Which of the following statements by the client indicates an understanding of the teaching?

A public health nurse is assisting in emergency response following a natural disaster in a community. Which of the following situations observed by the nurse indicates the community is in the recovery phase of the disaster?

A nurse is performing a home hazard appraisal for a client who is experiencing weakness in the lower extremities and uses a walker. Which of the following recommendations should the nurse make?

During a routine school visit to a physical education class, a nurse receives multiple reports of shortness of breath, coughing, and nausea. Which of the following actions should the nurse take first?

A home health nurse is assessing the health history of a new client. The nurse should identify that which of the following conditions increases the client's risk for falls?