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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While it’s important to respect a client’s wishes and provide a supportive environment, avoiding the client’s health status may not be beneficial. Open communication about the client’s condition can help in planning and providing appropriate care.
Choice B rationale
Providing quiet time during visits for prayer or meditation can be a valuable part of a care plan for a client with end-stage breast cancer. This can offer spiritual comfort and peace, which can enhance the client’s quality of life.
Choice C rationale
Placing the client’s name and medical condition on an online prayer chain may not be appropriate without the client’s explicit consent due to privacy concerns.
Choice D rationale
Recommending the client seek out hospice services rather than seek treatment may not be the best approach. The decision between pursuing treatment and entering hospice care should be made by the client and their healthcare team.
Correct Answer is D
Explanation
Choice A rationale
HIPAA rules do not vary from state to state. They are federal laws that apply uniformly across all states. However, states may have additional laws related to health information privacy that provide further protections.
Choice B rationale
A client’s diagnosis cannot be posted on the communication board inside the client’s room. This would be a violation of HIPAA rules, which protect the privacy of a patient’s health information.
Choice C rationale
Sharing computer passwords with a manager is not in line with HIPAA regulations. Each healthcare provider should have their own unique login credentials to access electronic health records. This helps ensure the security of health information and allows for tracking of access to patient records.
Choice D rationale
HIPAA rules do indeed allow clients to receive a copy of their medical records. This is part of the patient’s right to access their own health information.
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