A school nurse is assessing a child who has a fever and notices several bite marks on the child's arm. The nurse should submit a referral for suspected child maltreatment based on which of the following additional findings? Select all that apply)

The child is frequently absent from school

The child's clothes are wrinkled and dirty

The child reports coughing all day.

The child is wearing open-toed shoes and the weather is cold outside.

The child tells the nurse that they are sick because they are bad.

Answer and Explanation

Correct Answer : A,B,D,E

A. The child is frequently absent from school: Chronic absenteeism can indicate neglect, particularly if there is no known illness or explanation. It suggests a lack of adequate supervision or possible efforts to hide signs of abuse.

B. The child's clothes are wrinkled and dirty: Consistently poor hygiene or unclean clothing can be a sign of neglect. It reflects a caregiver's failure to meet the child’s basic physical needs.

C. The child reports coughing all day: A cough alone is not indicative of abuse or neglect. It could result from many common, non-abuse-related conditions and does not support a maltreatment referral unless associated with other concerning signs.

D. The child is wearing open-toed shoes and the weather is cold outside: Inappropriate clothing for the weather can be a sign of neglect, especially if it occurs repeatedly. It may show a failure to provide for the child's health and safety.

E. The child tells the nurse that they are sick because they are bad: This statement suggests the child may have internalized blame and shame, which can be a psychological result of abuse. It is a red flag when seen alongside physical signs like bite marks.

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Correct Answer is B

Explanation

A. Engage neighborhood families to monitor the playground for further trash buildup: While community involvement is valuable, monitoring alone does not address the immediate sanitation concern. Engagement is more effective after assessing and planning with the community.

B. Meet with community members to discuss methods of playground maintenance: The first step is to involve the community in identifying concerns and generating solutions. This approach promotes shared ownership, sustainability, and relevance of any interventions.

C. Partner city officials with community members to improve the playground's condition: Collaboration with city officials is important, but it should follow initial discussions with the community to ensure their input and priorities are represented in any formal partnerships.

D. Work with local businesses to sponsor more trash receptacles in the playground: Providing trash receptacles is a practical solution, but it does not address the root causes or promote sustained behavior change without community buy-in and shared planning.

A. Developing an escape plans. B. Using stress management techniques C. Identifying a primary support person. D. Providing referrals for legal counseling.

Correct Answer is A

Explanation

A. Developing an escape plan: Ensuring the client's immediate safety is the top priority in cases of partner violence. Creating a personalized and practical escape plan can help the client prepare for a quick exit during a dangerous situation, potentially preventing serious harm or fatality.

B. Using stress management techniques: While managing stress is important for mental health, it does not directly address the urgent physical safety needs of someone in an abusive situation. It is better suited for long-term recovery rather than immediate intervention.

C. Identifying a primary support person: Having emotional and logistical support is helpful, but it is a secondary step after ensuring safety. In some cases, reaching out to others without a plan may even increase risk if not done cautiously.

D. Providing referrals for legal counseling: Legal support is essential in the long term to address restraining orders, custody, or separation, but it should follow immediate safety planning. Legal action without safety precautions could escalate the abuse.

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A school nurse is assessing a child who has a fever and notices several bite marks on the child's arm. The nurse should submit a referral for suspected child maltreatment based on which of the following additional findings? Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A community health nurse observes the accumulation of garbage at a neighborhood playground. Which of the following actions should the nurse take first to promote a clean and safe environment?

Correct Answer is B

Explanation

A nurse in a community health center is counseling a group of clients who are currently experiencing partner violence. Which of the following strategies is the priority for the nurse to include in the counseling?

Correct Answer is A

Explanation

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