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.

Determine the immediate safety needs of the child.

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

Ask the child how the injury occurred.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Reporting suspected abuse to Child Protective Services is important when there are concerns of child abuse. However, in this scenario, the nurse's first priority should be to ensure the immediate safety and well-being of the child. Without assessing the child's safety, it would be premature to report abuse. Child Protective Services can be involved later if necessary.

Choice C rationale:

Requesting that the parent leave the room while interviewing the child can be a useful strategy when there are concerns about abuse or when the child needs to speak freely. However, this should not be the first action. Ensuring the child's immediate safety takes precedence.

Choice D rationale:

Asking the child how the injury occurred is important in gathering information, but it should not be the first action. Ensuring the child's safety is of primary importance, and this information can be gathered after immediate safety needs are addressed.

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Correct Answer is B

Explanation

Choice B rationale:

Confidentiality is a fundamental principle in debriefing sessions, and reassuring staff members that the debriefing is confidential helps create a safe environment where they can openly discuss their experiences. This choice sets the foundation for open communication and trust among the participants.

Choice A rationale:

Asking staff members to describe their most traumatic memories of the event as the first intervention may not be the best approach. This could be overwhelming and trigger emotional distress in participants. It's essential to start the debriefing with a more general and supportive approach.

Choice C rationale:

Having staff members discuss their involvement in the event is important, but it's better suited for a later stage of the debriefing process. The initial focus should be on creating a safe and confidential environment for participants to express their feelings.

Choice D rationale:

Providing stress-management exercises to the staff members is a valuable intervention but should be introduced after the initial stage of creating a safe and supportive atmosphere. It's essential to address the emotional needs and concerns of the participants before moving on to stress-management techniques. .

A. Offer prophylactic medication to prevent STIs. B. Provide a trained advocate to stay with the client. C. Conduct a pregnancy test. D. Request a mental health consultation for the client.

Correct Answer is B

Explanation

Choice A rationale:

Offering prophylactic medication to prevent STIs is an important intervention in cases of sexual assault; however, it is not the next immediate step. The priority at this stage is to ensure the client's safety and emotional support.

Choice B rationale:

Providing a trained advocate to stay with the client is the most appropriate and immediate action. This helps ensure the client's emotional well-being and provides support during a traumatic experience. Advocates can also help the client navigate the healthcare system and legal processes.

Choice C rationale:

Conducting a pregnancy test is important, but it is not the next immediate step. Safety and emotional support should be the priority.

Choice D rationale:

Requesting a mental health consultation for the client is important, but it should not be the next immediate action. Safety and support should come first.

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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 leading a critical incident stress debriefing with a group of staff members following a mass trauma incident.Which of the following interventions should the nurse take first?

Correct Answer is B

Explanation

A nurse is caring for a client in the emergency department who states that she was beaten and sexually assaulted by her partner.After a rapid assessment, which of the following actions should the nurse plan to take next?

Correct Answer is B

Explanation

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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?