A mother tells the nurse during an admission interview that her 2-year-old, who has numerous bruises, has fallen down stairs frequently. The mother is able to provide few vague details. The nurse evaluates this as:
Possible child abuse
Knowledge deficit pertaining to home safety.
A child with delayed milestones
Normal behavior for a 2 year old
The Correct Answer is A
A. Possible child abuse is the most likely assessment. The presence of numerous bruises and the mother's vague, inconsistent details about the falls are concerning and may indicate that the child is being abused. Children at this age may sustain some bumps or bruises due to falls, but repeated and unexplained injuries, especially if the mother provides few details, should raise suspicion. The nurse should report this concern to appropriate authorities for further investigation.
B. Knowledge deficit pertaining to home safety could be a possibility if the mother is unaware of safety precautions in the home, but the vague and inconsistent explanation of the injuries makes this less likely. A knowledge deficit would typically present with more specific concerns and less concern for frequent injury.
C. A child with delayed milestones does not explain the frequent bruises or the vague details provided by the mother. While developmental delays can occur in some children, they are unlikely to account for such a pattern of injuries.
D. Normal behavior for a 2-year-old typically involves some bumps and bruises, but frequent falls resulting in numerous bruises are not considered normal. Most 2-year-olds are still learning motor skills, but they should not be falling down stairs repeatedly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Multiple sclerosis (MS) is a disabling disease of the central nervous system (brain and spinal cord). It involves the immune system attacking the protective myelin sheath covering nerve fibers, causing communication problems between the brain and the rest of the body. This progressive damage can lead to both physical and cognitive disabilities, making it a dementia-related disorder in some advanced cases.
B. Huntington chorea (Huntington’s disease) is a genetic neurodegenerative disorder that affects movement and cognitive function, but it is not primarily defined as a disorder of both the brain and spinal cord.
C. Wernicke-Korsakoff syndrome is a brain disorder linked to chronic alcohol use and thiamine (vitamin B1) deficiency. It affects memory and coordination but is not a disease of the spinal cord.
D. Alzheimer’s disease is the most common form of dementia and is strictly a brain disorder, not one that affects the spinal cord.
Correct Answer is A
Explanation
A. Ageism refers to stereotyping, prejudice, or discrimination based on a person's age. This can occur against any age group but is often directed at older adults, where they may be perceived as less capable, frail, or irrelevant due to their age.
B. Sexism refers to discrimination based on gender, usually against women, but can apply to any gender. It involves biased attitudes, behaviors, or practices that disadvantage individuals based on their gender.
C. Bias refers to a tendency to favor or prejudice one group over another. While bias can be related to age, it is a broader term and is not specific to age groups.
D. Discrimination is the unjust or prejudicial treatment of different categories of people or things, and it can involve ageism, sexism, racism, etc. However, ageism is a more specific term when the discrimination is based on age.
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