A school nurse is examining a child who has a toothache and bruises on both knees.
Which of the following observations should the nurse report as a potential sign of maltreatment at home?
The child is receiving free lunches at school.
The child has recently started experiencing urinary incontinence.
The child has a history of frequent absences from school.
The child appears to be underweight for their age.
The Correct Answer is C
Choice A rationale
While receiving free lunches at school may indicate a low-income status, it does not necessarily suggest maltreatment at home. Many schools offer free or reduced-price lunches to students from low-income families to ensure they receive proper nutrition.
Choice B rationale
Urinary incontinence in a child could be due to various reasons, including medical conditions or stress. While it could potentially be a sign of maltreatment, it is not a definitive indicator and would need to be evaluated in the context of other signs and symptoms.
Choice C rationale
Frequent absences from school can be a potential sign of maltreatment at home. Children who are being maltreated may be kept home to hide physical signs of abuse, or they may be truant due to a lack of parental supervision or a chaotic home environment.
Choice D rationale
Being underweight for their age could be a sign of neglect, one form of maltreatment. However, it could also be due to a variety of other factors, including medical conditions or poor nutrition, and should be evaluated in the context of other signs and symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Measuring noise levels at various locations in the facility is a direct method for detecting potential physical hazards in the workplace. Excessive noise can lead to hearing loss and other health issues, making it a critical physical hazard to identify and mitigate.
Choice B rationale
Surveying workers about job-related emotional stress is an important aspect of occupational health nursing, but it does not directly assist in detecting physical hazards. Emotional stress is a psychological hazard, not a physical one. Physical hazards are conditions or substances that can cause bodily harm, such as noise, temperature extremes, radiation, and chemicals.
Choice C rationale
Identifying industrial toxins that are present in the environment is crucial for assessing chemical hazards in the workplace. However, chemical hazards are a separate category from
physical hazards. Physical hazards are factors within the environment that can harm the body without necessarily touching it, such as noise, vibration, and extreme temperatures.
Choice D rationale
Tracking rates of illness caused by infection among employees is a valuable activity in occupational health nursing, but it does not directly help in detecting physical hazards. This activity is more related to biological hazards in the workplace, which include bacteria, viruses, and other infectious agents.
Correct Answer is D
Explanation
Choice A rationale
Substance abuse prevention is an important topic for adolescents, but it is not the leading cause of death in this age group. While substance abuse can lead to fatal overdoses, accidents, and health problems, it is not the primary cause of death.
Choice B rationale
Sports injury prevention is important for adolescents, especially those involved in physical activities. However, sports injuries are not the leading cause of death among adolescents.
Choice C rationale
Gun safety is a critical issue, especially in areas with high rates of gun violence. However, it is not the leading cause of death among adolescents.
Choice D rationale
Motor vehicle safety is the correct answer. Motor vehicle accidents are the leading cause of death among adolescents. Therefore, education on safe driving practices and the dangers of distracted or impaired driving should be a priority.
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