A nurse in a provider's office is assessing a school-age child who has a spiral fracture. The parent of the child provides different accounts of the cause of the injury. Which of the following actions should the nurse take first?

Report suspected abuse to Child Protective Services.

Request that the parent leave the room while interviewing the child.

Determine the immediate safety needs of the child.

Ask the child how the injury occurred.

Answer and Explanation

The Correct Answer is C

The correct answer is Choice C: Determine the immediate safety needs of the child.

Choice A rationale: Reporting suspected abuse to Child Protective Services is an important step in cases of suspected child abuse. However, before taking this action, it is crucial to ensure the immediate safety and well-being of the child. Jumping directly to reporting without assessing the immediate safety needs could potentially put the child at further risk if they are left in a dangerous situation. Therefore, while reporting suspected abuse is necessary, it is not the first action the nurse should take in this scenario.

Choice B rationale: Requesting that the parent leave the room while interviewing the child may be necessary to ensure the child feels comfortable and able to speak freely. However, before conducting the interview, it is essential to address any immediate safety concerns. Additionally, removing the parent from the room may not always be feasible or appropriate, especially if the child requires immediate medical attention or protection. Therefore, while this action may be taken at some point, it is not the first action the nurse should take.

Choice C rationale: Determining the immediate safety needs of the child is the first and most critical action the nurse should take in this scenario. This involves assessing the severity of the injury, evaluating if the child is in immediate danger, and taking any necessary steps to ensure their safety and well-being. This could include providing medical treatment, removing the child from a dangerous environment, or contacting emergency services if needed. By addressing the immediate safety needs first, the nurse can ensure the child's well-being before further investigating the situation.

Choice D rationale: Asking the child how the injury occurred is an important step in gathering information about the incident. However, before conducting the interview, it is essential to prioritize the child's safety and well-being. Jumping directly to questioning without assessing the immediate safety needs could potentially further traumatize the child or put them at risk if they are in a dangerous situation. Therefore, while interviewing the child is necessary, it should not be the first action taken by the nurse.

In conclusion, Choice C, determining the immediate safety needs of the child, is the first action the nurse should take in this scenario to ensure the child's well-being and safety are prioritized.

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

Explanation

A.Bradycardia, or a slow heart rate, is a common physiological finding in individuals with anorexia nervosa due to the body's adaptive response to conserve energy. The heart rate may drop below the normal range of 60-100 bpm.

B.Russell's sign refers to calluses or abrasions on the knuckles or back of the hand caused by self-induced vomiting. It's a physical indicator of recurrent vomiting in individuals with bulimia nervosa or severe anorexia nervosa.

C.Lanugo refers to fine, soft hair that grows on the face, back, and arms of individuals with anorexia nervosa. This is the body's attempt to increase warmth due to insufficient body fat, and it's a result of the malnutrition associated with the disorder.

D.Hypotension, or low blood pressure, is often seen in individuals with anorexia nervosa due to decreased cardiac output and volume. This can lead to dizziness, fatigue, and other cardiovascular symptoms.

E.Diarrhea is not a common finding in anorexia nervosa. Clients with anorexia nervosa are more likely to experience constipation due to malnutrition, dehydration, and the body’s reduced metabolic rate.

A. Manage conflict within the group. B. Encourage the use of problem-solving skills. C. Maintain the group's focus on identified issues. D. Establish a rapport with group members.

Correct Answer is D

Explanation

A. Manage conflict within the group.Conflict management is an important skill for a group facilitator, but it is generally more applicable during the working phase of the group when members begin to express differing opinions and emotions.

B. Encourage the use of problem-solving skills.While encouraging problem-solving is beneficial for group members, this intervention is more appropriate for later phases of the group process, once rapport is established and members are actively discussing their issues.

C. Maintain the group's focus on identified issues.Keeping the group focused on specific issues is important for effective group work. However, in the orientation phase, the primary goal is to introduce the group, establish guidelines, and build relationships.

D. Establish a rapport with group members.In the orientation phase of a support group, the nurse's primary objective is to establish trust and build rapport. Creating a supportive and welcoming environment is essential for adolescents, as it sets the stage for open communication.

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A nurse in a provider's office is assessing a school-age child who has a spiral fracture. The parent of the child provides different accounts of the cause of the injury. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has anorexia nervosa. Which of the following findings should the nurse expect? (Select all that apply.).

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

Explanation

A nurse is planning to conduct a support group for adolescents who have cancer. Which of the following actions should the nurse include during the orientation phase?

Correct Answer is D

Explanation

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