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.

Answer and Explanation

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..

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Correct Answer is C

Explanation

Choice A reason: While creating diversionary activities for children is important, it is not the priority. These activities can help alleviate stress and provide a sense of normalcy, but they do not address immediate survival needs.

Choice B reason: Helping clients gather needed supplies is also important, but it is secondary to addressing immediate physical needs. Supplies can be essential for comfort and recovery, but the first concern should be life-sustaining measures.

Choice C reason: Addressing the physical needs of clients is the priority in a disaster situation. This includes providing first aid, securing food and water, and ensuring safety. These actions are crucial for survival and must be addressed before other needs.

Choice D reason: Exploring the feelings the clients are experiencing is a part of psychological first aid and is vital for long-term recovery. However, it is not the immediate priority when compared to physical needs, which are essential for survival.

A. "I will wear gloves when I discard the syringes." B. "I will store used syringes in a biohazard bag before discarding." C. "I will take containers of used syringes to the local recycling center." D. "I will discard the syringes in a metal container."

Correct Answer is D

Explanation

Choice A reason: Wearing gloves when discarding the syringes is not necessary, as long as the syringes are placed in a sharps disposal container immediately after use. Gloves do not prevent needle-stick injuries or infections¹.

Choice B reason: Storing used syringes in a biohazard bag before discarding is not recommended, as biohazard bags are not puncture-resistant and may leak or spill. Biohazard bags are also not accepted by most disposal programs².

Choice C reason: Taking containers of used syringes to the local recycling center is not appropriate, as recycling centers do not accept medical waste. Recycling centers may also expose workers and the environment to potential hazards from the syringes³.

Choice D reason: Discarding the syringes in a metal container is a correct way to dispose of insulin needles, as long as the container is labeled as "Sharps" and has a tight-fitting lid. Metal containers, such as coffee cans or detergent bottles, are strong and durable and can prevent needle-stick injuries. Metal containers can be dropped off at designated collection sites or mailed back to disposal programs.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is working in a shelter following a disaster. Which of the following is the priority action for the nurse to take?

Correct Answer is C

Explanation

A home health nurse is providing teaching to a client who has diabetes mellitus about the proper disposal of insulin syringes. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

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