Several children come to the Emergency Department for treatment. The situation that would cause the nurse to have the highest suspicion of child abuse would be:
Several visits of the same child with varied injuries.
A 5-year-old child who broke his arm and clings to mother crying.
A 1-year-old child who has a dislocated shoulder from arm swinging.
Repeated visits of the same child with middle ear infections.
The Correct Answer is A
a. Several visits of the same child with varied injuries.
Explanation of Choices
Choice A Reason: Several Visits of the Same Child with Varied Injuries
This scenario raises the highest suspicion of child abuse. Multiple visits with different injuries can indicate a pattern of harm rather than isolated accidents. Healthcare providers are trained to recognize that varied injuries over time, especially in different stages of healing, can be a red flag for abuse. This pattern suggests that the child may be experiencing ongoing harm rather than a single incident. The nurse should conduct a thorough assessment and consider involving child protective services to ensure the child’s safety.
Choice B Reason: A 5-Year-Old Child Who Broke His Arm and Clings to Mother Crying
While a broken arm in a child can be concerning, it is not uncommon for children to sustain such injuries during play or accidents. The child’s emotional response of clinging to the mother and crying is also typical for a young child in pain and distress. This scenario alone does not strongly indicate abuse without additional context or evidence. However, the nurse should still assess the situation carefully and consider any other signs or patterns that might suggest abuse.
Choice C Reason: A 1-Year-Old Child Who Has a Dislocated Shoulder from Arm Swinging
A dislocated shoulder in a 1-year-old is unusual and can be concerning. While it could result from an accident, such as arm swinging, it is also a potential sign of abuse, especially if the explanation does not match the injury. The nurse should investigate further, considering the child’s medical history and any other signs of potential abuse. However, this scenario alone does not provide as strong an indication of abuse as multiple varied injuries.
Choice D Reason: Repeated Visits of the Same Child with Middle Ear Infections
Repeated visits for middle ear infections are common in young children and are typically related to medical issues rather than abuse. Middle ear infections can occur frequently in children due to their anatomy and immune system development. This scenario does not raise immediate concerns about abuse unless there are other signs or patterns of harm. The nurse should focus on providing appropriate medical care and monitoring the child’s health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a. Tell me more about what unpleasant effects you have been experiencing
Explanation of Choices
Choice A Reason: Tell Me More About What Unpleasant Effects You Have Been Experiencing
This response is the most appropriate because it opens a dialogue between the nurse, the client, and the parent. Understanding the specific side effects the client is experiencing allows the nurse to gather detailed information, which is crucial for assessing the situation accurately. This approach shows empathy and concern for the client’s well-being and can help identify whether the side effects are manageable or if an alternative treatment plan is needed. It also ensures that the client feels heard and supported.
Choice B Reason: Stop Taking the Medication Immediately
Advising the client to stop taking the medication immediately is not appropriate without a thorough assessment and consultation with the prescribing physician. Abruptly discontinuing ADHD medication can lead to withdrawal symptoms and a resurgence of ADHD symptoms, which can negatively impact the client’s daily functioning and overall health. Medication changes should always be made under medical supervision to ensure safety and effectiveness.
Choice C Reason: I’ll Get the Physician to Discuss This Situation
While involving the physician is an important step, this response alone does not address the immediate concerns of the client and parent. It is essential for the nurse to first understand the specific issues before referring to the physician. This ensures that the physician has all the necessary information to make an informed decision about the client’s treatment plan. Additionally, this response may come across as dismissive if not coupled with an initial assessment by the nurse.
Choice D Reason: It’s Important to Take the Medication as Prescribed
While it is true that taking medication as prescribed is important, this response does not acknowledge the client’s and parent’s concerns about side effects. It may come across as dismissive and could damage the trust between the client, parent, and healthcare provider. Addressing the side effects and exploring possible solutions or alternatives is crucial for maintaining adherence to the treatment plan and ensuring the client’s well-being.
Correct Answer is ["B"]
Explanation
Choice A Reason: Family history
Family history is not a modifiable risk factor. It refers to the genetic predisposition to certain health conditions based on the medical history of one’s family. While it is important to be aware of family history to understand potential risks, it cannot be changed or modified through lifestyle adjustments.
Choice B Reason: Weight
Weight is a modifiable risk factor. Maintaining a healthy weight through diet and exercise can significantly reduce the risk of various health conditions, including heart disease, diabetes, and hypertension. Weight management is crucial for overall health and can be controlled through lifestyle changes.
Choice C Reason: Sedentary lifestyle
A sedentary lifestyle is a modifiable risk factor. Increasing physical activity and reducing sedentary behavior can improve cardiovascular health, enhance mental well-being, and reduce the risk of chronic diseases. Encouraging regular exercise and active living is essential for health improvement.
Choice D Reason: Alcohol consumption
Alcohol consumption is a modifiable risk factor. Limiting or avoiding alcohol can reduce the risk of liver disease, certain cancers, and other health issues. Moderation in alcohol intake is important for maintaining good health and preventing related complications.
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