When obtaining a history from parents of a 4-year-old child, what indicator should prompt the nurse to consider suspected child abuse?

Consistent growth pattern on the 25th percentile

A contusion on the child's leg

Fearful behavior when the nurse enters the room

Inconsistent story on the child's injury.

Answer and Explanation

The Correct Answer is D

Choice A reason: A consistent growth pattern on the 25th percentile is not an indicator of child abuse. It means that the child is growing normally and is within the expected range for their age and gender.

Choice B reason: A contusion on the child's leg is not necessarily an indicator of child abuse. It could be a result of accidental injury or normal play. However, the nurse should assess the location, size, shape, and color of the bruise, and compare it with the parents' explanation.

Choice C reason: Fearful behavior when the nurse enters the room is not a specific indicator of child abuse. It could be a sign of anxiety, shyness, or discomfort in an unfamiliar setting. The nurse should try to establish rapport with the child and use developmentally appropriate communication techniques.

Choice D reason: An inconsistent story on the child's injury is a strong indicator of child abuse. It suggests that the parents are trying to hide or cover up the cause of the injury, or that they are not aware of how the injury occurred. The nurse should document the discrepancies and report any suspicions of abuse to the appropriate authorities.

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Correct Answer is B

Explanation

Choice A: True - While it is true that a significant proportion of prisoners have experienced abuse in their childhood, the statement that over half of all violent offenders in prison were physically or sexually abused as children is not accurate according to available data¹²³.

Choice B: False - This is the correct answer. According to a report by the Ministry of Justice in the UK, a large number of prisoners have experienced adverse childhood experiences, but the percentage does not exceed half¹. Similarly, a survey of men in Her Majesty's Prison Parc in South Wales found that more than 8 in 10 had experienced at least one adverse childhood experience, but this includes a range of experiences beyond physical and sexual abuse². Furthermore, data from the U.S. indicates that less than 20% of state prison inmates reported experiencing abuse before the age of 18³.

A. Have the youth give assent, and proceed with surgery. B. Attempt to contact another relative. C. Give pain medications until consent can be obtained. D. Wait for parents to obtain consent.

Correct Answer is A

Explanation

Choice A reason: This is the most appropriate action because it respects the youth's autonomy and maturity, and allows for timely and necessary intervention. Assent is the agreement of a minor to participate in a medical decision, and it is usually sufficient in emergency situations when parental consent is not available.

Choice B reason: This is not the most appropriate action because it may delay the surgery and put the youth at risk of further complications. Another relative may not have the legal authority to consent for the youth, and may not be reachable in time.

Choice C reason: This is not the most appropriate action because it does not address the underlying problem of the injury. Pain medications may provide temporary relief, but they may also mask the symptoms and interfere with the surgery.

Choice D reason: This is not the most appropriate action because it may jeopardize the youth's health and safety. Waiting for parents to obtain consent may result in irreversible damage or even death. The youth's best interest should be the priority in this case.

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When obtaining a history from parents of a 4-year-old child, what indicator should prompt the nurse to consider suspected child abuse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Over half of all violent offenders in prison were physically or sexually abused as children.

Correct Answer is B

Explanation

Correct Answer is A

Explanation

Staff members working with school-aged children believe it is important for each child to understand and agree to medical treatment, especially when treatment is part of research protocols. The term for this process is:

A thirteen-year-old female is admitted for abdominal pain. Her parents state that their daughter is not sexually active. As the health care provider, you:

Parents tell the nurse that their two-year-old son often sleeps with them. They seem unconcerned about this. The nurse's response should be based on which of the following?

A 5-year-old child is on the pediatric unit 6 hours post-op for a tonsillectomy. He is spitting up clear mucus and refusing to drink because his throat hurts. What should be the priority nursing action?

Which intervention for treating croup at home should be taught to parents?

The mother of a 3-year-old who has been diagnosed with an ear infection states, "I can't understand why you won't give my child antibiotics. Can't you see that she is sick?" Which of the following responses by the nurse is appropriate at this time?

Which of the following statements is true regarding how children experience pain relative to adults?