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.)

Choice A rationale

While it is true that many patients who choose hospice care have declined additional life- prolonging treatments, this is not a requirement for eligibility. Some patients may still pursue certain treatments while receiving hospice care.

Choice B rationale

The need for inpatient care due to lack of a caregiver does not determine eligibility for hospice care. Hospice care can be provided in various settings, including the patient’s home, a hospice facility, or a long-term care facility.

Choice C rationale

While insurance coverage can influence access to hospice care, it is not a condition for medical eligibility. The decision for hospice care is based on the patient’s health status and not on their insurance coverage.

Choice D rationale

This is the correct answer. To be eligible for hospice care, a patient must have a prognosis of six months or less to live if the illness runs its normal course.

Choice A rationale

The Department of Health and Human Resources is primarily responsible for the health and well-being of all Americans. It provides effective health and human services and fostering advances in medicine, public health, and social services. However, it does not directly deal with environmental hazards such as asbestos.

Choice B rationale

The Environmental Protection Agency (EPA) is the correct choice because it is responsible for protecting human health and the environment by writing and enforcing regulations based on laws passed by Congress. The EPA has implemented strict regulations for the use, handling, and disposal of asbestos products. In cases of asbestos exposure, the EPA takes actions to protect the public from the adverse health effects of asbestos, a known carcinogen. Therefore, a community health nurse should consult the EPA for guidance regarding a public building that has asbestos leaking from rips in the heating duct insulation.

Choice C rationale

The Centers for Disease Control and Prevention (CDC) is a national public health institute in the United States. It is a federal agency that conducts and supports health promotion, prevention, and preparedness activities in the United States, with the goal of improving overall public health. While the CDC does work to protect public health, its focus is not specifically on environmental hazards like asbestos.

Choice D rationale

The National Institutes of Health (NIH) is the primary agency of the United States government responsible for biomedical and public health research. While the NIH does conduct research on various health issues, it does not have the regulatory authority to manage environmental hazards such as asbestos.