A teacher asks the school nurse to assess a child for neglect.
Which of the following assessment findings could indicate neglect?
Newly found lice in the hair.
Bruises in various stages of healing.
Lack of weight gain and wearing dirty clothes.
Failure of the parent to attend parent-teacher conferences or return teacher phone calls.
The Correct Answer is C
Choice A rationale
Newly found lice indicate poor hygiene but are not specific to neglect; lice spread easily in crowded settings, even among children with attentive caregivers. Hygiene and environmental factors need assessment.
Choice B rationale
Bruises in various stages of healing suggest physical abuse rather than neglect. Bruises indicate potential harm inflicted intentionally, requiring thorough investigation of injury causes and patterns over time.
Choice C rationale
Lack of weight gain and wearing dirty clothes indicates neglect. Poor nutrition and hygiene are clear signs caregivers may fail to meet basic needs essential for a child's health and development.
Choice D rationale
Failure to attend conferences or return calls shows lack of engagement but does not confirm neglect. Communication barriers like language or financial difficulties may be reasons unrelated to neglect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Avoiding legal complications aligns with primary prevention, but the nurse’s focus is reducing health risks associated with drug use, especially blood-borne diseases from shared needles.
Choice B rationale
Tertiary prevention minimizes harm like disease transmission. Providing sterilization education addresses risks from ongoing drug use, emphasizing reduction of complications rather than complete cessation.
Choice C rationale
Secondary prevention detects or prevents complications early. While sterilizing needles helps, the focus here is ongoing harm reduction rather than immediate risk identification or complication prevention.
Choice D rationale
Educating about safe injections promotes harm reduction but does not focus on primary prevention. Tertiary prevention is the appropriate classification for reducing ongoing drug use risks. .
Correct Answer is A
Explanation
Choice A rationale
Directness and honesty when speaking with the client establish trust and encourage open communication, which are essential for accurately identifying and addressing potential abuse situations.
Choice B rationale
Including a family member during history-taking may inhibit the client from freely disclosing abuse and can compromise the integrity of the information gathered.
Choice C rationale
Providing wound care is essential for treating injuries but does not align with the purpose of accurately documenting abuse or establishing necessary interventions.
Choice D rationale
Probing aggressively may cause distress, leading the client to withhold information and potentially re-traumatizing the individual in an already vulnerable state.
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