A school nurse is taking care of an adolescent who presents with multiple burns in various stages of healing. which of the following behaviors should the nurse identify as a suggestive of possible physical abuse?
Provides a detailed description of how the burns occurred
Denies discomfort during assessment of injuries
Describes strong relationships with peers
Expresses a reluctance to leave home
The Correct Answer is B
A. Providing a detailed description of how burns occurred may suggest a plausible explanation, but it does not necessarily indicate abuse.
B. Denying discomfort despite the presence of burns may suggest emotional detachment or an attempt to conceal the severity of the injuries, which can be indicative of abuse.
C. Describing strong relationships with peers is a typical and healthy sign of social development and does not indicate abuse.
D. Reluctance to leave home may suggest anxiety or attachment to family, but it is not necessarily indicative of abuse.
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Related Questions
Correct Answer is C
Explanation
A. Rather than helping the child accept a loss of control, atraumatic care focuses on empowering the child and promoting a sense of control through participation in care and decision-making.
B. While pain management is crucial, the goal is not to have the child "accept" pain but to minimize it through interventions like distraction, pharmacologic pain relief, and comfort measures.
C. Preparing the child for unfamiliar treatments or procedures aligns with the principles of atraumatic care, which aim to reduce fear, anxiety, and physical and emotional distress. By offering developmentally appropriate explanations, the nurse helps the child feel more in control and reduces the traumatic impact of the experience.
D. Atraumatic care emphasizes maintaining parental involvement during hospitalization whenever possible. Preparing the child for separation does not align with atraumatic care principles, as separation is a source of stress that should be minimized.
Correct Answer is B
Explanation
A. While emotional support is important, this response may come across as directive and may not acknowledge the father's current emotional state.
B. Asking about how the father has handled previous stressors allows him to reflect on coping mechanisms and may provide insight into how he can manage the current situation.
C. While acknowledging the father's feelings is important, agreeing without further exploration may not help him address the emotional distress he is experiencing.
D. Dismissing the father’s feelings or emotions can invalidate his experience, which could prevent him from opening up about his struggles.
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