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.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
Choice A reason: This statement is not the best indicator of the recovery phase, as it may reflect the initial reaction of the survivors after the disaster. Survivors may still experience emotional distress, physical injuries, or material losses that require assistance and intervention.
Choice B reason: This statement is not the best indicator of the recovery phase, as it may reflect the ongoing efforts of the outside responders during the disaster. Outside responders may work long hours each day to provide rescue, relief, and support to the affected community.
Choice C reason: This statement is not the best indicator of the recovery phase, as it may reflect the challenges faced by the volunteers during the disaster. Volunteers may experience burnout due to the high demands, stress, and trauma of the disaster situation.
Choice D reason: This statement is the best indicator of the recovery phase, as it reflects the resilience and adaptation of the community after the disaster. The community may restore its functions, services, and resources, and cope with the changes and losses caused by the disaster.
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