A nurse is caring for a child who has been admitted to the hospital with multiple fractures and bruises. The nurse suspects that the child is a victim of physical abuse. Which of the following actions should the nurse take first?
Document the child's injuries using a body map and photographs.
Notify the child protective services and the health care provider.
Interview the child and the parents separately about the cause of the injuries.
Ensure the safety and comfort of the child in a private room.
The Correct Answer is D
The correct answer is D. Ensuring the safety and comfort of the child in a private room is the priority action that the nurse should take first when caring for a child who is suspected to be a victim of physical abuse. This action can help protect the child from further harm, reduce their anxiety and fear, and establish trust and rapport with the nurse. Choice A is an important action that the nurse should take to document the evidence of abuse, but it is not the first action. Choice B is a legal and ethical action that the nurse should take to report the suspected abuse and collaborate with other professionals, but it is not the first action. Choice C is an assessment action that the nurse should take to gather more information about the situation, but it is not the first action.
Choice A Reason: This is an incorrect answer. This is an important action that the nurse should take to document the evidence of abuse, but it is not the first action.
Choice B Reason: This is an incorrect answer. This is a legal and ethical action that the nurse should take to report the suspected abuse and collaborate with other professionals, but it is not the first action.
Choice C Reason: This is an incorrect answer. This is an assessment action that the nurse should take to gather more information about the situation, but it is not the first action.
Choice D Reason: This is the correct answer. This is the priority action that the nurse should take first when caring for a child who is suspected to be a victim of physical abuse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is D. Assessing the child for other signs and symptoms of abuse, such as behavioral changes, fear of adults, or poor school performance, is a Reasonable and appropriate action that the community health worker could have taken to determine if the child was being abused. Choice A is a harsh and blaming response that may discourage the participant from sharing their experiences or learning from their mistakes. Choice B is a passive and complacent response that may reinforce the participant's inaction or denial of abuse. Choice C is a risky and potentially harmful response that may put the child or the community health worker in danger if the parents are abusive and become angry or violent.
Choice A Reason: This is an incorrect answer. This is a harsh and blaming response that may discourage the participant from sharing their experiences or learning from their mistakes.
Choice B Reason: This is an incorrect answer. This is a passive and complacent response that may reinforce the participant's inaction or denial of abuse.
Choice C Reason: This is an incorrect answer. This is a risky and potentially harmful response that may put the child or the community health worker in danger if the parents are abusive and become angry or violent.
Choice D Reason: This is the correct answer. This is a Reasonable and appropriate action that the community health worker could have taken to determine if the child was being abused.
Correct Answer is C
Explanation
The correct answer is C. Using alcohol or drugs to cope with stress and relax is an unhealthy and harmful behavior that can increase the risk of child abuse and neglect by impairing parental judgment, self-control, and coping skills. The nurse should provide further teaching to this parent and explain the negative effects of substance abuse on parenting and child development. Choice A is a correct statement that indicates an understanding of seeking professional help if needed. Choice B is a correct statement that indicates an understanding of joining a support group for parents where they can share their feelings and experiences. Choice D is a correct statement that indicates an understanding of practicing relaxation techniques such as deep breathing or meditation.
Choice A Reason: This is a correct statement that indicates an understanding of seeking professional help if needed.
Choice B Reason: This is a correct statement that indicates an understanding of joining a support group for parents where they can share their feelings and experiences.
Choice C Reason: This is an incorrect statement that indicates a need for further teaching. Using alcohol or drugs to cope with stress and relax is an unhealthy and harmful behavior that can increase the risk of child abuse and neglect.
Choice D Reason: This is a correct statement that indicates an understanding of practicing relaxation techniques such as deep breathing or meditation.
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