A nurse is conducting a child maltreatment screening of a family who has a toddler. Which of the following findings should the nurse identify as an indicator of possible child neglect?
The child has a history of jaw fractures.
The child seems frightened of their parent.
The child has had no immunization since birth.
The child rocks back and forth continually.
The Correct Answer is C
A reason: The child has a history of jaw fractures. While a history of fractures may indicate physical abuse, it is not specifically indicative of neglect. Child neglect often involves failure to provide necessary care, not necessarily causing physical injury.
B reason: The child seems frightened of their parent. Fear of a parent can be a sign of abuse or neglect, but it alone is not a definitive indicator of neglect. It requires further investigation to determine the cause of the child's fear.
C reason: The child has had no immunizations since birth. Failure to provide necessary medical care, such as immunizations, is a clear indicator of neglect. It shows a lack of attention to the child's health and well-being.
D reason: The child rocks back and forth continually. Repetitive behaviors like rocking can be a sign of psychological distress or developmental issues but are not specific indicators of neglect. They require further evaluation to understand the underlying cause.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
A reason: Hallucinations. Hallucinations can be distressing and are associated with various mental health conditions, but they are not a direct indicator of suicide risk without other contributing factors.
B reason: Depression. Depression is a significant risk factor for suicide. Clients experiencing persistent sadness, hopelessness, and a lack of interest in life are at a higher risk for attempting suicide.
C reason: Delusions. Delusions, particularly those that are paranoid or nihilistic, can contribute to feelings of hopelessness and despair, increasing the risk of suicide attempts.
D reason: Catatonia. Catatonia involves motor immobility and behavioral abnormality. While it is a serious condition requiring treatment, it is not a direct indicator of suicide risk without other contributing factors.
E reason: Tinnitus. Tinnitus, or ringing in the ears, is not associated with an increased risk of suicide. It is a physical symptom that does not directly influence suicidal behavior.
Correct Answer is A
Explanation
A reason: Dissociation. Dissociation involves a disconnection between thoughts, identity, consciousness, and memory. The inability to recall details of a traumatic event is a common dissociative response in PTSD, where the mind separates from the distressing experience.
B reason: Rationalization. Rationalization involves creating a logical explanation to justify unacceptable feelings or behaviors. It does not involve memory loss or detachment from the event, making it an incorrect choice in this context.
C reason: Undoing. Undoing is a defense mechanism where a person tries to reverse or undo feelings by doing something that indicates the opposite feeling. It does not involve forgetting or dissociating from traumatic events.
D reason: Reaction formation. Reaction formation involves expressing the opposite behavior or emotion of what one truly feels. It does not involve memory loss or dissociation from the traumatic event, making it an incorrect choice in this context.
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