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. "Donepezil (Aricept) encourages production of acetylcholine, a chemical in the brain necessary for memory processes. It delays the progression of the disease." B. "Donepezil (Aricept) delays the destruction of dopamine, a chemical in the brain necessary for memory processes. Although most effective in the early stages, it serves to delay, but not stop, the progression of the disease." C. "Donepezil (Aricept) delays the destruction of acetylcholine, a chemical in the brain necessary for memory processes. Although most effective in the early stages, it serves to delay, but not stop, the progression of the disease." D. "Donepezil (Aricept) encourages production of dopamine, a chemical in the brain necessary for memory processes. It delays the progression of the disease."

Correct Answer is C

Explanation

A. "Donepezil (Aricept) encourages production of acetylcholine, a chemical in the brain necessary for memory processes. It delays the progression of the disease.": This statement is partially correct. Donepezil inhibits the breakdown of acetylcholine rather than encouraging its production. However, it correctly states that it delays the progression of Alzheimer's disease.

B. "Donepezil (Aricept) delays the destruction of dopamine, a chemical in the brain necessary for memory processes. Although most effective in the early stages, it serves to delay, but not stop, the progression of the disease.": This is incorrect because Alzheimer's disease primarily involves acetylcholine, not dopamine.

C. "Donepezil (Aricept) delays the destruction of acetylcholine, a chemical in the brain necessary for memory processes. Although most effective in the early stages, it serves to delay, but not stop, the progression of the disease.": This is the correct statement. Donepezil is a cholinesterase inhibitor that helps maintain acetylcholine levels in the brain, which is important for memory and cognitive function. It does not cure Alzheimer's disease but can slow its progression.

D. "Donepezil (Aricept) encourages production of dopamine, a chemical in the brain necessary for memory processes. It delays the progression of the disease.": This is incorrect because donepezil does not affect dopamine levels significantly in the context of Alzheimer's disease.

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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?

Nursing Test Bank

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 nursing instructor is teaching about donepezil (Aricept). A student asks, "How does this work? Will this cure Alzheimer's disease (AD)?" Which appropriate statement will the instructor make?

Correct Answer is C

Explanation

A nurse is teaching a nursing student about secondary Neurocognitive Disorders. Which of the following are the causes of secondary Neurocognitive Disorders? Select all that apply.

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