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 A
Explanation
Choice A reason: Understanding the client's living situation is crucial for planning appropriate care post-discharge. The environment must accommodate the special bed and provide a safe space for recovery.
Choice B reason: While applying moisture barrier ointment is important for skin protection, it is not the first action to take when planning discharge. The immediate environment must first be assessed for suitability.
Choice C reason: Assistance with the cost of supplies is valuable, but it is secondary to ensuring the client's living conditions are conducive to recovery and proper care.
Choice D reason: Nutrition is essential for healing, but the initial focus should be on the client's living arrangements to ensure they support the required care and equipment.
Correct Answer is B
Explanation
Choice A reason: This is incorrect. Hospice care does not provide life extending interventions, but rather focuses on comfort and quality of life for the client and their family⁴⁵.
Choice B reason: This is correct. Hospice care is for people who are in the final stages of an incurable illness and have a life expectancy of 6 months or less⁴⁶. Hospice care helps ease symptoms and provide emotional and spiritual support⁵.
Choice C reason: This is partially correct. Hospice care does allow families to participate in the client's care, but this is not the main goal of hospice care⁴⁵. Hospice care also involves a team of professionals who provide medical, social, and practical support to the client and their family⁴.
Choice D reason: This is incorrect. Hospice services do not end when the client dies, but continue to provide bereavement support to the family for up to a year after the client's death⁴⁵..
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