The nurse is identifying tertiary prevention strategies to implement for this client.
Select the three actions the nurse should take.
Insist that the client explain the reason for their bruises.
Inform the client that their child is being abusive toward them.
Report suspected maltreatment to the appropriate agency.
Confront the client's child about the client's injuries.
Ask the client how the fracture occurred.
Conduct the interview with the client privately.
Correct Answer : C,E,F
In a situation where maltreatment is suspected, it is important for the nurse to report their concerns to the appropriate agency. The nurse should also ask the client how the fracture occurred and conduct the interview with the client privately, without the presence of their child, to gather more information and assess the situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Children often have difficulty understanding the complex nature of illness and death. They may develop feelings of guilt or responsibility for the situation, thinking that their behavior or actions caused the illness or its outcome.
It is important for the nurse to provide support, reassurance, and age-appropriate explanations to address the sibling's concerns and misconceptions.
Correct Answer is D
Explanation
This statement shows that the mother understands the importance of having matching identification bands for herself and her baby. In healthcare facilities, identification bands are used as a security measure to ensure that newborns are correctly matched with their parents or caregivers. Having matching identification bands helps to prevent any mix-ups or unauthorized individuals from taking the baby. It demonstrates that the mother is aware of the security protocol and will actively participate in ensuring her baby's safety.
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