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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Naltrexone is used to help manage alcohol dependence by reducing cravings and the pleasurable effects of alcohol. It blocks opioid receptors in the brain, which can help prevent relapse in people trying to stop drinking.
B. Valium (diazepam) is a benzodiazepine, typically used to treat anxiety, muscle spasms, and alcohol withdrawal symptoms, but it is not specifically used as a medication for alcoholism treatment itself. While it may be used during withdrawal to manage symptoms, it is not a medication for long-term management of alcohol dependence.
C. Antabuse (disulfiram) is used to deter drinking by causing unpleasant reactions (such as nausea and vomiting) if alcohol is consumed. This is a treatment for alcoholism that relies on the patient's compliance to avoid drinking.
D. Campral (acamprosate) is used to help people maintain abstinence from alcohol after they've stopped drinking. It works by restoring the balance of neurotransmitters in the brain that may be disrupted by long-term alcohol use.

A. Educate the victim about strategies to avoid attacks in the future. B. Use accepting, nurturing, and empathetic communication techniques. C. Discourage the expression of feelings until the victim stabilizes. D. Maintain a matter-of-fact manner and objectivity

Correct Answer is B

Explanation

A. Educate the victim about strategies to avoid attacks in the future is not the most therapeutic intervention immediately after the assault. While prevention strategies can be helpful later, the immediate priority is providing emotional support and ensuring the victim feels heard and understood. This helps begin the process of healing.
B. Use accepting, nurturing, and empathetic communication techniques is the most therapeutic approach. Victims of sexual assault need a safe space to express their feelings and to feel supported without judgment. Using empathetic, compassionate communication helps to validate their feelings and begins to rebuild trust. It also allows the victim to process the trauma at their own pace.
C. Discourage the expression of feelings until the victim stabilizes is not a therapeutic approach. Bottling up emotions can lead to further psychological harm. Encouraging the victim to express their feelings when they are ready can be part of the healing process. Discouraging emotional expression may make the victim feel invalidated or isolated.
D. Maintain a matter-of-fact manner and objectivity might seem neutral, but it can come across as cold or distant, which could worsen the victim’s emotional state. While maintaining professionalism is important, the victim requires emotional support, which can be achieved through empathetic and compassionate communication

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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:

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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: