Which is an evidence-based approach for further assessment by a school nurse, who notices bruises and scars on a 5-year-old child's body, but the child refuses to disclose how they received them?

Follow the established protocol for reporting suspected child abuse or neglect to the appropriate authorities.

Convince the child to disclose the cause of the injuries through gentle questioning and persuasion.

Respect the child's privacy and wait for them to share information about the injuries voluntarily. D. Document and discuss the observations with the child's teacher to gather more information.

Answer and Explanation

The Correct Answer is A

A. Follow the established protocol for reporting suspected child abuse or neglect to the appropriate authorities: This is the correct approach according to child protection guidelines. School personnel are mandated reporters and must report suspected abuse or neglect to protect the child's safety.

B. Convince the child to disclose the cause of the injuries through gentle questioning and persuasion: This approach can inadvertently pressure the child and is not recommended as it may lead to further distress or inaccurate information.

C. Respect the child's privacy and wait for them to share information about the injuries voluntarily: While respecting privacy is important, child protection takes precedence when there are signs of abuse or neglect.

D. Document and discuss the observations with the child's teacher to gather more information: While documentation is important, it should not delay reporting suspected abuse or neglect to the appropriate authorities.

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Correct Answer is ["A","B","C"]

Explanation

A. Medication side effects: Certain medications can cause cognitive impairment that mimics dementia, but this condition is often reversible if the medication is adjusted or discontinued.

B. Hypothyroidism: Hypothyroidism can lead to cognitive impairment that may be reversible with appropriate thyroid hormone replacement therapy.

C. Vitamin B12 deficiency: Deficiency in vitamin B12 can cause cognitive deficits that are often reversible with supplementation.

D. Multiple small brain infarcts: This condition, often associated with vascular dementia, usually leads to permanent brain damage and is typically not reversible.

A. Increased metabolic rate B. Decreased heart rate and blood pressure C. Fear of weight gain D. Excessive thirst and frequent urination E. Excessive weight loss

Correct Answer is ["B","C","E"]

Explanation

A. Increased metabolic rate: Anorexia typically results in a decreased metabolic rate due to malnutrition and a significant reduction in energy intake.

B. Decreased heart rate and blood pressure: Malnutrition and dehydration associated with anorexia can lead to bradycardia and hypotension.

C. Fear of weight gain: A hallmark of anorexia nervosa is an intense fear of gaining weight and a persistent behavior to avoid weight gain.

D. Excessive thirst and frequent urination: These symptoms are not typically associated with anorexia and are more characteristic of conditions such as diabetes.

E. Excessive weight loss: Significant weight loss is a primary feature of anorexia nervosa, often leading to severe underweight status and associated health complications.

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Which is an evidence-based approach for further assessment by a school nurse, who notices bruises and scars on a 5-year-old child's body, but the child refuses to disclose how they received them?

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Naxlex Comprehensive Predictor Exams

A new nurse is teaching a nursing student in the mental health unit. The nurse explains that an example of a treatable (reversible) form of Neurocognitive disorder is caused by which of the following? (Select all that apply)

Correct Answer is ["A","B","C"]

Explanation

A nurse is caring for a client with an eating disorder. The nurse is aware which findings are commonly associated with clients who have anorexia? (Select All that Apply.)

Correct Answer is ["B","C","E"]

Explanation

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Which is an evidence-based approach for further assessment by a school nurse, who notices bruises and scars on a 5-year-old child's body, but the child refuses to disclose how they received them?

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