Several children are seen in the ER for treatment of illnesses and injuries daily. The situation that would cause the nurse to have a high suspicion of child abuse would be:

a 1-year-old child who has a dislocated shoulder from arm swinging.

several visits of the same child with varied injuries.

a 5-year-old child who broke his arm and clings to mother crying

repeated visits of the same child with middle ear infections.

Answer and Explanation

The Correct Answer is B

B. Multiple visits of the same child with different injuries could be a significant red flag for possible child abuse. Patterns of repeated injuries or injuries inconsistent with the child's developmental stage or reported activities may indicate a pattern of maltreatment.
A. While accidental injuries can occur, a dislocated shoulder in a 1-year-old child from arm swinging seems unlikely and may warrant further investigation.
C. Breaking a bone, such as an arm, can occur accidentally during childhood play or activities and the behavior of the child clinging to the mother is expected in moments of pain.
D. Middle ear infections are common in childhood and typically do not raise suspicion of abuse on their own.

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Correct Answer is A

Explanation

A. Domestic violence is not simply about physical violence but also involves an imbalance of power where the abuser seeks to exert control over the victim through various means, including emotional, psychological, financial, and social manipulation.
B. Domestic violence can certainly lead to erratic relationships and exacerbate feelings of vulnerability but this statement does not capture the central dynamic of power and control that characterizes domestic violence.
C. Poor communication and social isolation can be contributing factors in some cases of domestic violence but they are not necessarily central to the dynamic.
D. This statement partially captures the psychological impact of domestic violence on victims, including emotional injury and learned helplessness. However, it does not explicitly address the underlying dynamic of power and control.

A. Initiate droplet precautions B. Initiate airborne precautions C. Place the client in a positive pressure room D. Initiate neutropenic precautions

Correct Answer is B

Explanation

B. Airborne precautions are used for diseases that can be transmitted through tiny respiratory droplets that remain in the air for extended periods. Examples include tuberculosis and measles. Given the symptom of coughing up blood and the possibility of an infectious respiratory disease, initiating airborne precautions could be warranted.
A. Droplet precautions are typically implemented for diseases that spread through respiratory droplets, such as influenza or pertussis. However, coughing up blood suggests a more serious condition that may not be adequately addressed by droplet precautions alone.
C. Positive pressure rooms are typically used in healthcare settings to prevent outside air from entering the room, thus reducing the risk of airborne contaminants. While this measure can be beneficial for certain conditions, such as those requiring airborne precautions, it may not be the priority intervention.
D. Neutropenic precautions are implemented for patients with compromised immune systems, particularly those with low white blood cell counts (neutropenia). While this precaution is important for protecting immunocompromised patients from infections, it may not be the priority intervention.

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Several children are seen in the ER for treatment of illnesses and injuries daily. The situation that would cause the nurse to have a high suspicion of child abuse would be:

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Naxlex Comprehensive Predictor Exams

Which statement by an Emergency Department nurse indicates accurate knowledge of domestic violence?

Correct Answer is A

Explanation

The nurse is assessing a newly admitted client whose chief complaint is "coughing up blood" and whose recent history includes a productive cough and night sweats. What is the nurse's priority intervention?

Correct Answer is B

Explanation

The intervention appropriate for a client who has been manipulating others and has a diagnosis of antisocial personality disorder is to:

In assessing a client diagnosed with borderline personality disorder, which characteristic would the nurse expect to observe?

A father brings his preschool son to the Emergency Department (ED) with multiple bruises and a fractured arm. Which statement by the father would cause the nurse to suspect child abuse? "He is:

A client is admitted to a Chemical Addictions Unit to stop using alcohol and to learn about sobriety. The client asks the nurse what medication the doctor has prescribed for possible alcohol withdrawal. The nurse explains that the physician prescribed:

During assessment, the nurse is most likely to find the attitude of the depressed client toward his illness to be:

An 11-year-old, who is diagnosed with oppositional defiant disorder, becomes angry and disruptive over the rules of the day treatment program. The nurse should de-escalate the situation by:

Several children are seen in the ER for treatment of illnesses and injuries daily. The situation that would cause the nurse to have a high suspicion of child abuse would be:

A physician mentions to a nurse that a newly admitted client is impulsive. The nurse should assess for behavior characterized by: