During a home health visit, a school-age child who has muscular dystrophy confides in the nurse that he was struck by his parents. Which of the following actions should the nurse take first?
Report the incident to local authorities
Check the child for injuries
Refer the parent to a social service agency
Enroll the parent in anger management classes
The Correct Answer is B
Choice A reason: Reporting the incident to local authorities is an important action, but it is not the first priority. The nurse should first assess the child's physical condition and provide any necessary care.
Choice B reason: Checking the child for injuries is the first action the nurse should take, as the child may have sustained physical harm from the abuse. The nurse should document any findings and report them to the appropriate authorities.
Choice C reason: Referring the parent to a social service agency is a helpful action, but it is not the first priority. The nurse should first ensure the child's safety and well-being.
Choice D reason: Enrolling the parent in anger management classes is a potential intervention, but it is not the first priority. The nurse should first address the immediate needs of the child and the family.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Conducting counseling for at-risk parents is not a primary prevention strategy, as it is a secondary prevention strategy. Secondary prevention aims to stop violence from recurring after it happens, by identifying and intervening with those who are at risk of being victims or perpetrators of violence. Counseling for at-risk parents may help them cope with stress, resolve conflicts, and improve their relationships, but it does not prevent violence from happening in the first place.
Choice B reason: Assessing a family for marital discord is not a primary prevention strategy, as it is a secondary prevention strategy. Secondary prevention aims to stop violence from recurring after it happens, by identifying and intervening with those who are at risk of being victims or perpetrators of violence. Assessing a family for marital discord may help the nurse detect signs of abuse, neglect, or violence, and refer the family to appropriate services, but it does not prevent violence from happening in the first place.
Choice C reason: Teaching parenting techniques to new parents is a primary prevention strategy, as it aims to prevent violence from ever happening in the first place. Primary prevention works by addressing the underlying causes of violence, such as gender inequality, social norms, and power imbalances, and promoting positive attitudes and behaviors across the whole population. Teaching parenting techniques to new parents may help them develop skills, knowledge, and confidence to raise their children in a healthy, safe, and supportive environment, and prevent child abuse and neglect.
Choice D reason: Providing treatment for a young adult who has a substance use disorder is not a primary prevention strategy, as it is a tertiary prevention strategy. Tertiary prevention aims to respond to the long-term impacts of violence, by providing care and support to those who have experienced or perpetrated violence, and reducing the consequences and recurrence of violence. Providing treatment for a young adult who has a substance use disorder may help them recover from their addiction, improve their mental and physical health, and reduce their involvement in violence, but it does not prevent violence from happening in the first place.
Correct Answer is D
Explanation
Choice A reason: Bradycardia is not a manifestation of alcohol withdrawal, but rather a sign of low heart rate. Alcohol withdrawal typically causes tachycardia, or high heart rate, as the body tries to compensate for the sudden absence of alcohol.
Choice B reason: Hypothermia is not a manifestation of alcohol withdrawal, but rather a sign of low body temperature. Alcohol withdrawal typically causes hyperthermia, or high body temperature, as the body reacts to the withdrawal symptoms.
Choice C reason: Increased appetite is not a manifestation of alcohol withdrawal, but rather a sign of hunger or craving. Alcohol withdrawal typically causes decreased appetite, or anorexia, as the body loses interest in food and suffers from nausea and vomiting.
Choice D reason: Insomnia is a manifestation of alcohol withdrawal, and one of the most common and distressing symptoms. Alcohol withdrawal causes insomnia, or difficulty falling or staying asleep, as the body experiences anxiety, agitation, and nightmares.
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