A teacher asks the school health nurse to assess a child for neglect. Which of the following assessment findings could indicate neglect?

Bruises in various stages of healing

Lack of weight gain and wearing dirty clothes

Failure of parent to attend parent-teacher conferences or return teacher phone calls

Lice in the hair

Answer and Explanation

The Correct Answer is B

Choice A reason: Bruises suggest abuse, not neglect directly. Weight and clothes indicate neglect, per nursing standards. This errors in category. It’s universally distinct, physical harm.

Choice B reason: Lack of weight gain and dirty clothes signal neglect, poor care. This aligns with nursing assessment standards. It’s universally recognized, distinctly neglect-related.

Choice C reason: Parent unresponsiveness is indirect; weight/clothes are direct signs. This misaligns with neglect findings, per nursing. It’s universally distinct, less specific.

Choice D reason: Lice can occur despite care; weight/clothes are stronger neglect indicators. This errors per nursing standards. It’s universally distinct, less conclusive.

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Correct Answer is A

Explanation

Choice A reason: E. coli O157:H7 spreads via animal contact at petting zoos. This fits epidemiology standards precisely. It’s universally recognized, distinctly accurate.

Choice B reason: Rocky Mountain Spotted Fever is tick-borne, not zoo-related. E. coli fits, per nursing. This errors in vector. It’s universally distinct.

Choice C reason: Hepatitis B is blood-borne, not petting zoo transmission. E. coli applies, per public health. This misaligns with mode. It’s universally distinct.

Choice D reason: Anthrax is rare, not typical in petting zoos. E. coli dominates, per nursing. This errors in context. It’s universally distinct.

A. Talk to the media to see whether a campaign to raise funds for the family can be created B. Try to convince the agency to give the care for free, even if it means economic stress for the agency, because the medical need is obvious C. Appreciate that the family has made the decision that it feels is best and take no further action if it is clear the family has made an informed choice D. Stress that each individual in society has a right to health care and the family will have to create some way to raise funds for the needed treatment

Correct Answer is C

Explanation

Choice A reason: Media campaigns for funds prioritize beneficence but ignore autonomy. The family’s informed choice to decline reflects resource allocation ethics, not public appeal needs. This risks overriding their values, potentially causing psychological stress without addressing systemic healthcare access issues directly.

Choice B reason: Forcing free care on the agency emphasizes beneficence over justice, straining resources unfairly. It dismisses the family’s autonomous, informed decision, potentially disrupting equitable care distribution and undermining ethical balance between individual needs and broader healthcare system sustainability concerns comprehensively.

Choice C reason: Respecting the family’s informed choice upholds autonomy, a core ethical principle. If they’ve weighed costs against benefits, like preserving resources for dependents, non-interference aligns with patient-centered care, avoiding paternalism while acknowledging their right to self-determination in health decisions fully.

Choice D reason: Insisting on rights to care and fundraising pressures the family, violating autonomy. It imposes a societal duty over their informed choice, potentially exacerbating financial strain and guilt, ignoring ethical nuance of resource allocation within familial and personal health priorities entirely.

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A teacher asks the school health nurse to assess a child for neglect. Which of the following assessment findings could indicate neglect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The public health nurse understands that which one is usually transmitted with petting zoos?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

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