A school nurse is reviewing the family history of a school-age child who has a fractured 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.
Neither of the child's parents are financially stable.
One of the child's parents has a history of alcohol use disorder.
The child spends the weekends with their grandparents.
Correct Answer : A,B,C
Choice A reason: This is correct. One of the child's parents appearing frightened of the other parent may indicate domestic violence or intimidation in the family, which can increase the risk of child abuse and neglect¹².
Choice B reason: This is correct. Neither of the child's parents being financially stable may indicate economic stress or poverty, which can increase the risk of child abuse and neglect¹².
Choice C reason: This is correct. One of the child's parents having a history of alcohol use disorder may impair their judgment, impulse control, or ability to care for the child, which can increase the risk of child abuse and neglect¹².
Choice D reason: This is incorrect. The child spending the weekends with their grandparents may indicate a supportive extended family or respite for the parents, which can decrease the risk of child abuse and neglect¹.
Choice E reason: This is incorrect. The child's family having an indoor cat that sleeps with the child may indicate a positive attachment or comfort for the child, which can decrease the risk of child abuse and neglect¹..
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason : Teaching clients' family members how to care for a wound is an educational activity that enhances the family's ability to provide care but does not directly provide feedback on the quality of care given by the staff.
Choice B reason : Tracking the readmission rates of postoperative clients is a direct measure of care quality. High readmission rates can indicate issues with the surgery or the postoperative care, making this a valuable metric for quality assessment.
Choice C reason : Orienting staff to new equipment is important for ensuring safe and effective use, but it does not offer direct feedback on the quality of care. It is more about maintaining competency and safety standards.
Choice D reason : Organizing morale-boosting events is beneficial for staff well-being and can indirectly affect care quality. However, it does not provide immediate feedback on the quality of care provided to clients.
Correct Answer is C
Explanation
Choice A reason: Assembling an emergency disaster response team is not the first action to take when developing a disaster-preparedness plan. The nurse should first assess the community's needs and resources before forming a team.
Choice B reason: Evaluating the effectiveness of local disaster-preparedness drills is not the first action to take when developing a disaster-preparedness plan. The nurse should first identify the potential hazards and vulnerabilities of the community before conducting or reviewing any drills.
Choice C reason: Identifying the community's risks and capabilities is the first action to take when developing a disaster-preparedness plan. The nurse should perform a comprehensive assessment of the community's strengths, weaknesses, opportunities, and threats (SWOT) related to disaster management.
Choice D reason: Providing education about first aid and triage is not the first action to take when developing a disaster-preparedness plan. The nurse should first determine the learning needs and preferences of the community before designing and implementing any educational programs.
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