A nurse is caring for a child and suspects the child has experienced physical maltreatment.Which of the following statements should the nurse make?
"It is not your fault that this happened."
"You should have told someone about this sooner."
"This should not have happened to you."
"I promise I won't tell anyone about this."
The Correct Answer is C
Choice A reason:
While it's important to reassure the child, stating that it's not their fault is correct, the statement in choice C is a stronger affirmation of the inappropriateness of the situation.
Choice B reason:
This statement may inadvertently place blame on the child, which is not appropriate in this situation.
Choice C reason:
This statement communicates empathy and acknowledges that the child should not have experienced maltreatment.
Choice D reason:
While it's important to maintain the child's trust, the priority is to ensure the child's safety and report any suspected maltreatment to the appropriate authorities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Biting behavior in a 15-month-old child is developmentally appropriate and not indicative of child maltreatment.
Choice B reason:
Correct. A fracture resulting from a bicycle injury may raise concerns about the child's safety and supervision, and it should be reported for further evaluation.
Choice C reason:
A history of frequent urinary tract infections is a medical concern but does not necessarily indicate child maltreatment.
Choice D reason:
Small bruises on the shins are common in toddlers and are typically the result of normal play and exploration. They are not necessarily indicative of child maltreatment.
Correct Answer is A
Explanation
Choice A reason:
Using a bleach-based solution to clean the bedside table is an appropriate measure to prevent the spread of Clostridium difficile bacteria, as bleach is effective in killing spores.
Choice B reason:
While hand sanitizer is useful for killing many types of bacteria and viruses, it may not be as effective against Clostridium difficile spores. Washing hands with soap and water is preferred.
Choice C reason:
Placing the toddler in a negative-airflow room is not necessary for managing Clostridium difficile diarrhea. Standard precautions and proper hygiene are sufficient.
Choice D reason:
Loperamide is not typically recommended for managing Clostridium difficile diarrhea, as it may worsen the condition by slowing down the bowel motility. The primary treatment is discontinuing the antibiotic that caused the infection and, in some cases, using specific antibiotics to target the C. difficile bacteria.
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