A nurse is caring for a group of clients in a pediatric clinic.
Which of the following clients is at highest risk for physical abuse?
An adolescent who is preparing to leave home for college.
A preschooler who is reluctant to share.
A school-age child who wants to go away to summer camp.
A toddler who has cystic fibrosis.
The Correct Answer is D
Choice A rationale
Adolescents preparing for college typically have more independence and support systems in place, reducing their risk for physical abuse.
Choice B rationale
Preschoolers' reluctance to share is a common developmental behavior and doesn't significantly elevate their risk for abuse.
Choice C rationale
School-age children wanting to attend summer camp usually have external support and interactions that provide some level of protection.
Choice D rationale
Toddlers with chronic illnesses like cystic fibrosis may be at higher risk for physical abuse due to the increased stress and demands on caregivers. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Monitoring blood pressure is essential as haloperidol can cause orthostatic hypotension. The client's action is appropriate.
Choice B rationale
Chewing sugar-free gum helps to alleviate dry mouth, a common side effect of haloperidol. This action is appropriate.
Choice C rationale
Avoiding alcohol is crucial because alcohol can interact with haloperidol and exacerbate its side effects. The client's action is appropriate.
Choice D rationale
Spending several hours outside in the sun could increase the risk of photosensitivity, a side effect of haloperidol. The nurse should address this.
Correct Answer is B
Explanation
Choice A rationale
Preoccupation with details is more characteristic of obsessive-compulsive personality disorder, where individuals focus excessively on rules, order, and details.
Choice B rationale
Manipulative behaviors are a common finding in individuals with antisocial personality disorder. These individuals often use manipulation to gain control or achieve their own goals without regard for others.
Choice C rationale
Impulsiveness is a characteristic of many personality disorders but is particularly prevalent in antisocial personality disorder, where individuals often act without considering the consequences.
Choice D rationale
Splitting is a defense mechanism more commonly associated with borderline personality disorder, involving an inability to integrate positive and negative aspects of oneself or others.
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