A mother brings her 10-year-old daughter in and tells the nurse that she believes the child has a brain tumor and quickly runs through a list of some classic symptoms associated with brain cancer. On examination and after performing routine blood work, however, the nurse finds nothing wrong with the child. The child says that she feels fine. When the nurse reviews the patient's chart, she finds that this is the sixth time the mother has brought the girl in for various serious conditions in the past six months. What does the nurse suspect?
physical neglect
psychological maltreatment
failure to thrive
Munchausen syndrome by proxy
The Correct Answer is D
Rationale:
A. Physical neglect involves failure to provide basic needs such as food, shelter, and medical care—not excessive, unnecessary medical care.
B. Psychological maltreatment includes verbal abuse or emotional neglect, but does not specifically involve fabricating medical conditions.
C. Failure to thrive refers to poor growth or weight gain and is unrelated to repeated, unfounded medical complaints.
D. Munchausen syndrome by proxy (also known as factitious disorder imposed on another) involves a caregiver, often a parent, fabricating or inducing illness in a child to gain attention or sympathy. Multiple unnecessary medical visits and inconsistent findings are classic red flags.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. IV fluids like 0.9% sodium chloride are typically reserved for more severe burns (e.g., deep partial- or full-thickness burns) that involve significant fluid loss.
B. Cool, wet compresses help reduce pain and limit the depth of injury in superficial partial-thickness burns. This is an appropriate and effective first-aid measure.
C. Using a soft-bristle brush can damage the delicate new tissue and worsen the injury. Gentle cleansing is needed, but not abrasive methods.
D. Morphine sulfate is used for moderate to severe pain, often in deeper burns. Superficial partial-thickness burns usually cause mild to moderate pain manageable with less potent analgesics.
Correct Answer is C
Explanation
Rationale:
A. Candidiasis is a fungal infection typically found in warm, moist areas such as the mouth (thrush) or diaper area, not commonly the feet.
B. Tinea corporis, or ringworm of the body, presents as circular lesions with clear centers and raised borders, typically on the trunk or limbs—not the feet.
C. Tinea pedis (athlete’s foot) is a common fungal infection of the feet, especially in adolescents. Itching, sweating, and foul odor are hallmark signs due to fungal overgrowth in moist areas.
D. Molluscum contagiosum is a viral skin infection that causes small, flesh-colored bumps with central umbilication, but it is not associated with itching, sweating, or odor.
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