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: This statement is not the priority action, as it does not address an immediate or urgent need of the client. Community support organizations can provide valuable resources and assistance to the client, but they are not essential for the client's safety or recovery.
Choice B reason: This statement is not the priority action, as it does not address an immediate or urgent need of the client. Spiritual support personnel can provide comfort and guidance to the client, but they are not essential for the client's safety or recovery.
Choice C reason: This statement is the priority action, as it addresses an immediate and urgent need of the client. The physical therapist needs to know the activity restrictions for the client following a hip arthroplasty, as they are responsible for developing and implementing a safe and effective rehabilitation plan for the client.
Choice D reason: This statement is not the priority action, as it does not address an immediate or urgent need of the client. A dietitian consult can provide information and education to the client about a vegan diet, but it is not essential for the client's safety or recovery.
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