A teacher suspects a child is being maltreated at home and takes them to the school nurse. Which of the following findings should the nurse report as an indication of possible maltreatment?
The child has recent onset of urinary incontinence.
The child receives free lunches at school.
The child has bruises on both knees.
The child reports having a toothache.
The Correct Answer is A
Choice A reason: The child has recent onset of urinary incontinence is a possible sign of maltreatment, as it may indicate sexual abuse, emotional trauma, or neglect. The school nurse should report this finding to the child protective services and follow up with the child and the family¹².
Choice B reason: The child receives free lunches at school is not a sign of maltreatment, but rather a socioeconomic indicator. The school nurse should not assume that the child is maltreated based on this factor alone, but rather assess the child for other signs and symptoms of abuse or neglect³.
Choice C reason: The child has bruises on both knees is not a sign of maltreatment, but rather a common injury among children who are active and playful. The school nurse should not report this finding unless there are other suspicious circumstances, such as inconsistent explanations, unusual locations, or patterns of bruises⁴.
Choice D reason: The child reports having a toothache is not a sign of maltreatment, but rather a health issue that may require dental care. The school nurse should not report this finding unless there are other signs of neglect, such as poor oral hygiene, lack of access to health care, or failure to follow up on referrals⁵.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Teaching the client about appropriate food choices is an important action, but not the first one. The nurse should first assess the client's current eating habits and preferences before providing any education.
Choice B reason: Referring the client to a diabetes mellitus support group is a helpful action, but not the first one. The nurse should first establish a rapport with the client and assess their readiness to learn and cope with the diagnosis before making any referrals.
Choice C reason: Identifying the client's dietary preferences is the first action to take. The nurse should use a client-centered approach and respect the client's cultural and personal preferences when planning the nutritional program.
Choice D reason: Developing a nutritional program is a necessary action, but not the first one. The nurse should first collaborate with the client and other health care professionals to design a program that meets the client's needs and goals.
Correct Answer is B
Explanation
Choice A reason: Sharing computer passwords with a manager is against HIPAA regulations, which emphasize individual access controls to protect client information.
Choice B reason: HIPAA gives clients the right to access their medical records, reflecting an understanding of the regulation's intent to empower patients with information about their health.
Choice C reason: HIPAA is a federal law, and while states can have additional privacy laws, HIPAA itself does not vary from state to state.
Choice D reason: Posting a client's diagnosis in a public area like a communication board is a clear violation of HIPAA, which requires maintaining the confidentiality of health information.
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