A nurse is caring for a 10-year-old child with bruises and signs of neglect. Which actions should the nurse take to ensure the child's safety and well-being? (Select all that apply)
Call the child's teacher to discuss the situation
Encourage the child to talk about their experiences
Provide the child with food and a safe environment
Document observations and report to appropriate authorities
Correct Answer : B,C,D
Choice A reason: Calling the teacher breaches confidentiality and isn’t the priority. Neglect and bruises suggest abuse, triggering stress responses like cortisol elevation. Scientifically, involving non-authorities risks escalating harm, as it doesn’t ensure legal protection or address the child’s immediate safety and psychological needs effectively.
Choice B reason: Encouraging the child to talk fosters trust, aiding psychological assessment. Scientifically, verbalizing experiences reduces stress by engaging prefrontal cortex processing, mitigating trauma’s impact on amygdala-driven fear responses. This supports emotional regulation, helping identify abuse details and guide protective interventions for the child’s well-being.
Choice C reason: Providing food and safety addresses immediate physical and psychological needs. Neglect can cause malnutrition, disrupting metabolic and cognitive function. Scientifically, a safe environment lowers cortisol, stabilizing stress responses. This ensures the child’s well-being, mitigating trauma’s neurobiological impact and supporting recovery from abuse-related harm.
Choice D reason: Documenting and reporting to authorities ensures legal protection and investigation. Bruises and neglect indicate abuse, impacting stress hormones and mental health. Scientifically, reporting triggers interventions to prevent further trauma, addressing neurobiological stress responses and ensuring the child’s safety through structured protective measures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Prescribing medication immediately bypasses assessment, risking inappropriate treatment. Sexual violence survivors may have PTSD or anxiety, requiring tailored interventions. Scientifically, premature medication can disrupt neurotransmitter balance, potentially worsening symptoms if the underlying trauma-related neurobiological changes, like amygdala hyperactivity, aren’t first evaluated.
Choice B reason: A thorough assessment identifies trauma-related cues, like anxiety or sleep issues, guiding care. Scientifically, evaluating symptoms maps neurobiological changes, such as heightened cortisol or amygdala activity, ensuring accurate diagnosis. This informs targeted interventions, stabilizing the patient’s mental state and addressing trauma’s psychological impact effectively.
Choice C reason: Discussing therapy options before assessment is premature, as specific needs are unclear. Trauma requires tailored interventions, like CBT, based on symptom severity. Scientifically, without evaluating neurobiological impacts, like stress-induced cortisol spikes, therapy may be ineffective, delaying recovery from trauma-related disorders.
Choice D reason: Arranging a family meeting before assessment risks breaching confidentiality or causing distress. Scientifically, trauma survivors may experience heightened stress responses, like elevated cortisol, when involving family prematurely. A thorough evaluation is needed first to ensure interventions align with the patient’s psychological safety and needs.
Correct Answer is ["2"]
Explanation
Step 1 is: 20 mg ÷ 10 mg
Step 2 is: (20 ÷ 10) = 2
Final answer = 2 tablets
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