The mother of a school-aged boy tells the praccal nurse (PN) that he fell out of a tree and hurt his arm and shoulder. Which assessment should the praccal nurse (PN) note as the most significant indicator of possible child abuse?
The child looks at the floor when answering the nurse's quesons.
The mother describes in detail what she did for her injured child.
The abrasions on the child's arms, legs, and chest have healed.
The injury descripon by the mother varies from the child's version.
The Correct Answer is D
- Child abuse is the intentional or neglectful physical, emotional, or sexual harm or injury of a child by a parent, caregiver, or another person who has a relationship of trust or responsibility with the child. Child abuse can have serious and long-lasting consequences for the child's health, development, and well-being.
- The practical nurse (PN) has a legal and ethical duty to identify, report, and prevent child abuse. The PN should be alert for any signs and symptoms of child abuse, such as unexplained or inconsistent injuries, bruises, burns, fractures, or scars; behavioural changes, such as fear, anxiety, aggression, withdrawal, or depression; poor hygiene, nutrition, or growth; lack of supervision, medical care, or education; or sexualized behaviours or knowledge.
- The PN should also conduct a thorough and sensitive assessment of the child and the family situation, using open-ended questions, active listening, and a non-judgmental attitude. The PN should compare the history and physical findings of the child with the expected developmental milestones and normal variations for the child's age and stage. The PN should also document any relevant information in an objective and factual manner.
- When the mother of a school-aged boy tells the PN that he fell out of a tree and hurt his arm and shoulder, the PN should assess the child's injury and compare it with the mother's explanation. The most significant indicator of possible child abuse in this scenario is if the injury description by the mother varies from the child's version. This may suggest that the mother is lying or covering up the true cause of the injury, which may be intentional or accidental harm by herself or someone else. A discrepancy between the mother's and the child's stories may also indicate that the child is afraid or coerced to hide the truth about the abuse.
- Therefore, option D is the correct answer, while options A, B, and C are incorrect.
- Option A is incorrect because the child looking at the floor when answering the nurse's questions may not be a sign of abuse, but rather a sign of shyness, embarrassment, pain, or discomfort.
Option B is incorrect because the mother describing in detail what she did for her injured child may not be a sign of abuse, but rather a sign of concern, care, or guilt.
Option C is incorrect because the abrasions on the child's arms, legs, and chest having healed may not be a sign of abuse, but rather a sign of normal wound healing or previous accidents.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: The AP's ability to complete the task without assistance is not one of the five rights of delegation. The nurse should always supervise and evaluate the AP's performance of delegated tasks.
Choice B reason: The AP's ability to prioritize is not one of the five rights of delegation. The nurse should provide clear and specific instructions and expectations for the delegated tasks.
Choice C reason: The AP's rapport with clients is not one of the five rights of delegation. The nurse should consider the client's preferences, needs, and condition when delegating tasks.
Choice D reason: The AP has the knowledge and skill to perform the task is one of the five rights of delegation. The nurse should delegate tasks that are within the AP's scope of practice, training, and competencE.
Correct Answer is B
Explanation
Choice A reason: A black tag is not an appropriate priority tag for this client because it indicates that the client is dead or has injuries that are incompatible with life and survival is unlikely even with treatment.
Choice B reason: A red tag is an appropriate priority tag for this client because it indicates that the client has life-threatening injuries that require immediate attention and treatment to survivE.
Choice C reason: A green tag is not an appropriate priority tag for this client because it indicates that the client has minor injuries that do not require immediate attention and treatment and can wait until the more urgent cases are handleD.
Choice D reason: A yellow tag is not an appropriate priority tag for this client because it indicates that the client has serious injuries that require attention and treatment within a short time, but can wait until the more critical cases are handleD.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.