A school nurse is examining the family history of a school-age child who has fractured their ulna for the second time. Which of the following findings place the child at risk for child abuse? (Select all that apply.)
One of the child’s parents appears frightened of the other parent.
One of the child’s parents has a history of alcohol use disorder.
The child spends the weekends with their grandparents.
Neither of the child’s parents are financially stable.
The child’s family has an indoor cat that sleeps with the child.
Correct Answer : A,B,D
Choice A rationale
If one parent appears frightened of the other, it could indicate a situation of domestic violence or abuse in the home. Children living in such environments are at increased risk of abuse.
Choice B rationale
A parent’s history of alcohol use disorder can increase the risk of child abuse. Substance abuse can impair a parent’s judgment and ability to care for a child, leading to neglect or abuse.
Choice C rationale
The fact that a child spends weekends with their grandparents does not inherently place them at risk for child abuse.
Choice D rationale
Financial instability can create stress and frustration, which can increase the risk of child abuse.
Choice E rationale
Having an indoor cat that sleeps with the child does not inherently place them at risk for child abuse.
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Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
Choice A rationale
Down syndrome does not typically require a modification in the standard immunization schedule. Children with Down syndrome should receive all recommended vaccinations according to the standard schedule.
Choice B rationale
Failure to thrive does not typically require a modification in the standard immunization schedule. Children with failure to thrive should receive all recommended vaccinations according to the standard schedule.
Choice C rationale
This is the correct answer. Children with leukemia or other cancers that weaken the immune system may require modifications to the standard immunization schedule. These children may need to avoid certain vaccines or delay vaccination until their immune system is stronger.
Choice D rationale
Sickle cell disease does not typically require a modification in the standard immunization schedule. Children with sickle cell disease should receive all recommended vaccinations according to the standard schedule.
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