A nurse is collecting data from a client who experienced physical abuse as a child. Which of the following findings should the nurse identify as a risk factor for the client to become a perpetrator of child abuse?

Submissive personality

Involved in community activities

Low tolerance for frustration

Absence of impulsive behaviors

Answer and Explanation

The Correct Answer is C

A.   A submissive personality alone is less likely to be a direct risk factor for becoming a perpetrator of child abuse. Individuals with a submissive personality tend to avoid confrontation and conflict rather than engage in aggressive or abusive behaviors towards others.
B.   Being involved in community activities is generally a positive factor that promotes social engagement, support networks, and a sense of belonging. It does not inherently contribute to an increased risk of becoming a perpetrator of child abuse.
C.   Low tolerance for frustration can be a risk factor for potential aggressive or impulsive behaviors. When individuals have difficulty managing frustration, they may be more prone to react impulsively or aggressively towards others, including children.

D.   The absence of impulsive behaviors typically indicates better impulse control and decision-making abilities. Individuals who can regulate their impulses are less likely to engage in spontaneous or aggressive actions, including perpetrating child abuse.

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Correct Answer is D

Explanation

A. Lithium can affect sodium and potassium balance in the body, but it does not specifically require a decrease in dietary potassium. Instead, sodium intake should be kept consistent because lithium excretion is influenced by sodium levels. Therefore, decreasing dietary potassium is not a recommended intervention.
B. Lithium can sometimes cause weight gain as a side effect. Increasing daily caloric intake is not a standard intervention when starting lithium. Clients should be encouraged to maintain a balanced diet and regular exercise regimen to manage potential weight changes.

C. Hypoglycemia is not a common side effect of lithium. Therefore, monitoring for hypoglycemia is not necessary when a client is taking lithium.
D. Administering lithium with meals can help reduce gastrointestinal side effects, such as nausea and upset stomach, which are common when starting the medication. It also helps with consistent absorption and reduces the peak serum concentration of lithium, which can minimize side effects and stabilize blood levels.

A. An adolescent who is preparing to leave home for college B. A school-age child who wants to go away to summer camp C. A preschooler who is reluctant to share D. A toddler who has cystic fibrosis

Correct Answer is D

Explanation

A. Adolescents who are preparing to leave home for college are generally more independent and have a higher level of verbal communication compared to younger children. They are less likely to be at high risk for physical abuse because they can potentially seek help or report abuse more readily.

B. School-age children typically have better verbal communication skills and may express their desires and feelings more clearly compared to younger children. They are generally less vulnerable to physical abuse compared to younger children who may not be able to communicate their experiences as effectively.
C. Preschoolers are at a higher risk for physical abuse compared to older children and adolescents. They are still developing verbal communication skills and may not be able to express their feelings or report abuse clearly. Their dependence on caregivers for basic needs and care also increases their vulnerability.
D. Toddlers, especially those with chronic health conditions like cystic fibrosis, are particularly vulnerable to physical abuse. Their young age, dependency on caregivers for basic needs, limited verbal communication skills, and potential health challenges increase their risk. Caregivers may feel overwhelmed or stressed by the child's condition, which could potentially contribute to abusive behaviors.

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A nurse is collecting data from a client who experienced physical abuse as a child. Which of the following findings should the nurse identify as a risk factor for the client to become a perpetrator of child abuse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a client who has a new prescription for lithium. Which of the following interventions should the nurse recommend?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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A nurse is collecting data from a client who experienced physical abuse as a child. Which of the following findings should the nurse identify as a risk factor for the client to become a perpetrator of child abuse?

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