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.

Answer and Explanation

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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Correct Answer is C

Explanation

Choice A rationale

Advance directives do not decrease the potential for receiving palliative care. In fact, they can help ensure that a person’s wishes for end-of-life care, including the desire for palliative care, are respected.

Choice B rationale

While advance directives can help uphold the ethical principle of veracity by ensuring that a person’s true wishes for their care are known and respected, this is not their primary purpose. The main purpose of advance directives is to guide decision-making when a person is unable to make or communicate their own healthcare decisions.

Choice C rationale

This statement accurately reflects the purpose of advance directives. Advance directives ease the difficult decisions faced by those involved in a person’s care by providing clear guidance on the person’s wishes for their healthcare.

Choice D rationale

This statement is not accurate. Advance directives do not detail a doctor’s decisions about a person’s end-of-life care. Instead, they provide guidance on the person’s own wishes for their care.

A. “If I choose palliative care, I can only go to the hospital if I stop breathing.”. B. “I need to stop treatments for my cancer before beginning palliative care.”. C. “If my oncologist recommends palliative care, it means that I have about 6 months or less to live.”. D. “The purpose of palliative care is to provide comfort measures for cancer.”.

Correct Answer is D

Explanation

Choice A rationale

The statement about only going to the hospital if the client stops breathing is incorrect. Palliative care is not limited to end-of-life care and does not restrict hospital visits to only life- threatening situations. It is a comprehensive approach to treatment that focuses on improving quality of life for patients and their families, addressing physical, psychosocial, and spiritual problems.

Choice B rationale

The statement about needing to stop treatments for cancer before beginning palliative care is incorrect. Palliative care can be provided alongside curative treatment and is not dependent on the cessation of other treatments. It is designed to alleviate symptoms and improve quality of life at any stage of illness, not just at the end of life.

Choice C rationale

The statement about having about 6 months or less to live if the oncologist recommends palliative care is incorrect. Palliative care is not only for end-of-life situations. It can be introduced at any stage of illness, even at the same time as treatment aimed at curing the disease. The goal of palliative care is to improve quality of life by providing relief from the symptoms and stress of the illness.

Choice D rationale

The statement about the purpose of palliative care being to provide comfort measures for cancer is correct. Palliative care aims to relieve symptoms and improve the quality of life for patients with serious illnesses, including advanced-stage lung cancer. It can help manage

symptoms such as pain, shortness of breath, fatigue, nausea, loss of appetite, problems with sleep, and emotional issues like anxiety and depression.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A community health nurse is discussing advance directives with a client.Which statement made by the client indicates an understanding of the purpose of advance directives?

Correct Answer is C

Explanation

A nurse is providing counseling to a client with advanced-stage lung cancer about palliative care. Which statement from the client shows they have understood the information?

Correct Answer is D

Explanation

A community health nurse notes that six new cases of diabetes mellitus have been reported in the past 3 months. In the previous year, five cases were reported. The population of the community is 15,000 people. What is the prevalence proportion for the community?

A home health nurse is visiting a client who has recently been diagnosed with diabetes mellitus. What should be the nurse’s initial action?

A nurse case manager is arranging for the delivery of medical equipment to a patient’s home as part of discharge planning.In which of the following roles is the nurse functioning?

A faith community nurse is preparing to meet with the family of an adolescent who has leukemia. What action should the nurse plan to take?

A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special bed at home.Which of the following statements should the nurse make first?

A faith community nurse is planning care for a client who has been diagnosed with end-stage breast cancer. Which of the following interventions should the nurse include in the plan?

A nurse is employed at a hospice organization.Which of the following conditions must a patient meet to be eligible for hospice care?

A school nurse is planning primary prevention activities for the upcoming school year. Which of the following should be included in the nurse’s plan? (Select all that apply)