A teacher asks the school nurse to assess a child for neglect.
Which of the following assessment findings could indicate neglect?
Newly found lice in the hair.
Bruises in various stages of healing.
Lack of weight gain and wearing dirty clothes.
Failure of the parent to attend parent-teacher conferences or return teacher phone calls.
The Correct Answer is C
Choice A rationale
Newly found lice indicate poor hygiene but are not specific to neglect; lice spread easily in crowded settings, even among children with attentive caregivers. Hygiene and environmental factors need assessment.
Choice B rationale
Bruises in various stages of healing suggest physical abuse rather than neglect. Bruises indicate potential harm inflicted intentionally, requiring thorough investigation of injury causes and patterns over time.
Choice C rationale
Lack of weight gain and wearing dirty clothes indicates neglect. Poor nutrition and hygiene are clear signs caregivers may fail to meet basic needs essential for a child's health and development.
Choice D rationale
Failure to attend conferences or return calls shows lack of engagement but does not confirm neglect. Communication barriers like language or financial difficulties may be reasons unrelated to neglect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Taking breaks is a form of self-care promoting stress relief but does not involve professional assessment or intervention aimed at limiting stress, thus not qualifying as secondary prevention.
Choice B rationale
Delegating activities to others can reduce workload but lacks systematic assessment or professional guidance to address stress, making it unsuitable as a secondary prevention measure.
Choice C rationale
Support groups provide emotional support and coping strategies, which are tertiary prevention approaches focused on managing existing stress rather than early detection or intervention.
Choice D rationale
Secondary prevention involves systematic assessment to detect issues early, including identifying caregiver stress levels and intervening promptly to mitigate potential negative impacts.
Correct Answer is A
Explanation
Choice A rationale
Mobile clinics improve access to health care by bringing services directly to underserved populations, reducing barriers such as distance and stigma while providing comprehensive care at a single convenient location.
Choice B rationale
Referring homeless clients to temporary housing addresses immediate shelter needs but does not inherently increase access to specialized health care services for mentally ill individuals in the community.
Choice C rationale
Distributing flyers provides information but is unlikely to effectively address systemic access barriers for homeless clients, such as transportation or trust issues when seeking health care services.
Choice D rationale
Soliciting donations for food and clothing supports basic needs but does not directly increase access to the specialized health care required by mentally ill homeless individuals.
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