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 factures

The child seems frightened of their parent

The child has had no immunizations since birth

The child rocks back and forth continually.

Answer and Explanation

The Correct Answer is C

A. The child has a history of jaw fractures: This finding suggests physical abuse rather than neglect. Jaw fractures are not typically associated with neglect unless they result from untreated medical conditions or lack of appropriate supervision.

B. The child seems frightened of their parent: This finding may indicate emotional abuse or exposure to domestic violence rather than neglect. While fearfulness can be a sign of maltreatment, it does not specifically indicate neglect unless it is related to the failure of the parent to provide adequate care.

C. The child has had no immunizations since birth: This finding is indicative of medical neglect, which is a form of child neglect. Failure to provide necessary medical care, such as immunizations, can put the child at risk of preventable diseases and is considered a form of neglect.

D. The child rocks back and forth continually: This finding may suggest developmental delays or emotional distress but is not necessarily indicative of neglect on its own. However, if the rocking behavior is related to inadequate stimulation, supervision, or care from the caregiver, it could be considered a sign of neglect.

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Correct Answer is D

Explanation

A. Autonomic dysreflexia: This condition typically occurs in individuals with spinal cord injuries above the T6 level and presents with sudden, severe hypertension, bradycardia, headache, and profuse sweating. It is not typically associated with alcohol withdrawal symptoms such as visual hallucinations and impaired consciousness.

B. Synergistic effect: This term refers to the combined effect of two or more substances or factors being greater than the sum of their individual effects. While alcohol withdrawal can interact with other substances or conditions to produce various effects, it is not a specific condition causing visual hallucinations and impaired consciousness.

C. Sleep deprivation: Prolonged sleep deprivation can lead to cognitive impairment, mood disturbances, and hallucinations, but it is not typically associated with impaired consciousness as described in the scenario. Additionally, the manifestations described are more indicative of alcohol withdrawal rather than sleep deprivation alone.

D. Delirium: Delirium is a state of acute confusion and altered consciousness characterized by disturbances in attention, awareness, cognition, and perception. Visual hallucinations and impaired consciousness are common features of delirium, especially in the context of alcohol withdrawal. Delirium often occurs due to underlying medical conditions, substance withdrawal, or medication side effects.

A. Reach to recovery B. 12-step program C. Al-Anon D. Light therapy

Correct Answer is B

Explanation

A. Reach to Recovery: Reach to Recovery is a program offered by the American Cancer Society that provides support and resources to individuals facing breast cancer. While support is crucial for individuals facing cancer, it is not directly related to alcohol withdrawal.

B. 12-step program: A 12-step program, such as Alcoholics Anonymous (AA), is a widely recognized support group for individuals recovering from alcohol addiction. These programs provide a structured approach to recovery, including support from peers who have experienced similar challenges.

C. Al-Anon: Al-Anon is a support group specifically designed for family members and friends of individuals struggling with alcohol addiction. While it may not be directly applicable to the client themselves, it could be beneficial for their family members or loved ones.

D. Light therapy: Light therapy, also known as phototherapy, is a treatment used for conditions such as seasonal affective disorder (SAD) or certain types of depression. While it can be helpful for individuals experiencing mood disturbances, it is not typically recommended specifically for alcohol withdrawal.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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