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 C

Explanation

A. Use detailed explanations when providing education to the client: Providing detailed explanations can help the client better understand their condition and treatment, which is essential for managing obsessive-compulsive disorder (OCD). This intervention promotes client education and empowerment, enabling them to participate more effectively in their care and treatment.

B. Maintain a stimulating environment for the client: Individuals with OCD often benefit from a calm and organized environment rather than a stimulating one. A stimulating environment might exacerbate anxiety and OCD symptoms. Therefore, maintaining a calm and structured environment is typically more beneficial for clients with OCD.

C. Provide the client with a structured schedule of daily activities: Providing a structured schedule of daily activities can help regulate the client's routine and provide a sense of predictability, which can be comforting for individuals with OCD. A structured schedule can also help minimize the impact of OCD symptoms on daily functioning by providing a framework for completing tasks and managing time effectively.

D. Limit time for rituals to 20 minutes each day: Limiting time for rituals to a specific duration each day may not be appropriate or effective for all clients with OCD. While gradual exposure and response prevention (ERP) therapy may involve gradually reducing the time spent on rituals, setting a specific time limit may not address the underlying causes of OCD and could potentially increase anxiety and distress for the client.

A. A nurse did not clarify a client's prescription that was difficult to read resulting in a medication error B. A nurse posted private information on social media about a client who has substance use disorder C. A nurse placed a client in mechanical restraints without containing a prescription, resulting in injury D. A nurse threatened a client with physical harm after the client became verbally abuse to staff members

Correct Answer is A

Explanation

A. A nurse did not clarify a client's prescription that was difficult to read resulting in a medication error: This scenario describes a medication error due to the nurse's failure to exercise reasonable care by not clarifying a difficult-to-read prescription. This constitutes negligence, making it an example of an unintentional tort.

B. A nurse posted private information on social media about a client who has substance use disorder: This scenario involves a breach of confidentiality, which is a violation of the client's privacy rights. However, it is considered an intentional tort (specifically, invasion of privacy) rather than an unintentional tort.

C. A nurse placed a client in mechanical restraints without containing a prescription, resulting in injury: This scenario describes a failure to follow proper procedures (restraining a client without a prescription), resulting in harm to the client. This also constitutes negligence, making it an example of an unintentional tort.

D. A nurse threatened a client with physical harm after the client became verbally abusive to staff members: This scenario involves the nurse's intentional act of threatening physical harm to the client, which constitutes an intentional tort (assault).

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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