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 ["A","C","D"]

Explanation

A. Lack of eye contact: Difficulty with eye contact is a common characteristic of ASD. Many individuals with ASD may have challenges in establishing or maintaining eye contact during social interactions.

B. Inability to play quietly: Individuals with ASD may engage in repetitive or stereotyped behaviors, including noisy or disruptive play. However, the inability to play quietly is not universally present in all individuals with ASD.

C. Constant spinning of a toy: Repetitive or stereotyped movements, such as spinning objects or repetitive hand movements, are common behaviors observed in individuals with ASD. This behavior is often referred to as "stimming" or self-stimulatory behavior.

D. Withdrawal from physical contact: Sensory sensitivities are common in individuals with ASD, and some may be hypersensitive to touch or physical contact. As a result, they may withdraw from or avoid physical contact with others.

E. Repeated voiding in clothes: Repeated voiding in clothes is not typically considered a core feature of ASD. However, some individuals with ASD may have challenges with toileting, including difficulties with toilet training or sensory sensitivities related to bathroom routines.

A. “I can hear him crying in the middle of the night.” B. "He spends most of his time locked in his room.” C. “He refuses to go to the movies with his friends.” D. “I noticed several cutting marks on both of his arms.”

Correct Answer is D

Explanation

A. “I can hear him crying in the middle of the night.”: While this statement indicates distress, it does not necessarily indicate an immediate risk of suicide. Crying can be a symptom of various emotional or psychological issues, but it does not provide direct evidence of suicidal intent.

B. "He spends most of his time locked in his room.”: Social withdrawal or isolating oneself from others can be a warning sign of depression or other mental health issues, including suicidal ideation. However, it alone may not indicate imminent risk of suicide.

C. “He refuses to go to the movies with his friends.”: Social withdrawal or a decline in interest in previously enjoyed activities can also be indicators of depression or other mental health concerns. However, like spending time alone, it does not provide direct evidence of suicidal intent.

D. “I noticed several cutting marks on both of his arms.”: This statement is the most concerning and indicates a potential self-harm behavior. Self-harm, such as cutting, can be a significant risk factor for suicide, especially if the behavior escalates or if the individual expresses suicidal thoughts or intentions.

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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

A nurse is caring for a 4-year-old child who has autism spectrum disorder. Which of the following behaviors should the nurse expect? (Select all that apply)

Correct Answer is ["A","C","D"]

Explanation

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Correct Answer is D

Explanation

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