A nurse is reviewing the signs and symptoms of child abuse and neglect with a group of nursing students. The nurse explains that physical signs of maltreatment may include which of the following? (Select all that apply.)

Bruises, burns, fractures, or bite marks.

Poor hygiene, malnutrition, or failure to thrive.

Genital injuries, sexually transmitted infections, or pregnancy.

Anxiety, depression, aggression, or withdrawal.

Learning difficulties, developmental delays, or speech problems.

Answer and Explanation

Correct Answer : A,B,C

Choice A Reason: Bruises, burns, fractures, or bite marks are physical signs of maltreatment that may indicate physical abuse or neglect. They may vary in size, shape, color, location, and pattern depending on the type and severity of the injury.

Choice B Reason: Poor hygiene, malnutrition, or failure to thrive are physical signs of maltreatment that may indicate neglect. They may reflect the lack of adequate food, clothing, shelter, health care, or supervision for the child.

Choice C Reason: Genital injuries, sexually transmitted infections, or pregnancy are physical signs of maltreatment that may indicate sexual abuse. They may result from sexual contact or penetration by the perpetrator.

Choice D Reason: Anxiety, depression, aggression, or withdrawal are behavioral signs of maltreatment that may indicate any type of abuse or neglect. They may reflect the emotional and psychological impact of the trauma on the child.

Choice E Reason: Learning difficulties, developmental delays, or speech problems are behavioral signs of maltreatment that may indicate any type of abuse or neglect. They may reflect the cognitive and social impact of the trauma on the child.

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Correct Answer is A

Explanation

Choice A Reason: This statement is appropriate because it shows empathy and reassurance to the boy. It also helps him understand that he is not responsible for the abuse and that he is not alone.

Choice B Reason: This statement is not appropriate because it puts pressure on the boy to disclose his experience. It also implies that his cooperation is a condition for receiving help.

Choice C Reason: This statement is not appropriate because it shifts the focus from the boy's feelings to his uncle's feelings. It also suggests that his uncle has some justification or remorse for his actions.

Choice D Reason: This statement is not appropriate because it blames and criticizes the boy for his experience. It also reinforces his sense of shame and guilt.

A. The nurse should report any case of suspected or confirmed abuse or neglect to the appropriate authorities within 24 hours. B. The nurse should obtain written consent from the parents or guardians before reporting any case of suspected or confirmed abuse or neglect. C. The nurse should document any evidence of abuse or neglect in detail using objective and factual language. D. The nurse should confront the suspected abuser directly and demand an explanation for the abuse or neglect.

Correct Answer is C

Explanation

The correct answer is C. The nurse should document any evidence of abuse or neglect in detail using objective and factual language. This can include physical findings, behavioral observations, statements from the child or the child or the parents, and any actions taken by the nurse or other professionals. This can help provide accurate and reliable information for the investigation and intervention of the case.

Choice A Reason: The nurse should report any case of suspected or confirmed abuse or neglect to the appropriate authorities within 24 hours. This is a legal and ethical obligation of the nurse to protect the child from further harm and to comply with the mandatory reporting laws of the state or country.

Choice B Reason: The nurse should not obtain written consent from the parents or guardians before reporting any case of suspected or confirmed abuse or neglect. This is not a legal or ethical requirement of the nurse, and it may jeopardize the safety of the child or the nurse. The nurse should report the case without notifying the parents or guardians, unless it is in the best interest of the child.

Choice D Reason: The nurse should not confront the suspected abuser directly and demand an explanation for the abuse or neglect. This is not a legal or ethical responsibility of the nurse, and it may endanger the child or the nurse. The nurse should leave the investigation and intervention of the case to the appropriate authorities, such as child protective services, law enforcement, or social workers.

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A nurse is reviewing the signs and symptoms of child abuse and neglect with a group of nursing students. The nurse explains that physical signs of maltreatment may include which of the following? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is interviewing a 10-year-old boy who has been sexually abused by his uncle. The boy is reluctant to talk about his experience and says that he feels ashamed and guilty. Which of the following statements by the nurse is appropriate to encourage communication?

Correct Answer is A

Explanation

A nurse is reviewing the legal and ethical obligations of reporting suspected or confirmed cases of child abuse and neglect. Which of the following information should the nurse include in the review?

Correct Answer is C

Explanation

A nurse is assessing a child who is suspected of being physically abused by his father. Which of the following findings should the nurse report to the child protective services as a possible indicator of abuse?

A nurse is interviewing a child who is suspected of being emotionally abused by his mother. Which of the following statements by the child should alert the nurse to possible abuse?

A nurse is assessing a child who is suspected of being physically abused by his father. Which of the following findings should the nurse report as possible indicators of abuse? (Select all that apply.)

A nurse is reviewing the signs and symptoms of child abuse and neglect with a group of nursing students. The nurse explains that physical signs of maltreatment may include which of the following? (Select all that apply.)

A nurse is working in a pediatric clinic and suspects that a 6-year-old girl who comes for a routine check-up is being emotionally abused by her mother. Which of the following actions should the nurse take? (Select all that apply.)