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 C
Explanation
Choice A rationale
Referring to a supervisor doesn’t fulfill the nurse’s legal obligation to clarify mandatory reporting requirements. It may also escalate parental frustration due to perceived evasion.
Choice B rationale
Delegating responsibility to a supervisor undermines the nurse’s accountability in adhering to legal reporting protocols. This response is insufficient to address parental concerns effectively.
Choice C rationale
Mandatory reporting laws require healthcare professionals to report suspected abuse, regardless of evidence certainty. Nurses must communicate this obligation clearly to justify their actions.
Choice D rationale
While involving the provider may aid communication, it doesn’t address the nurse’s personal accountability in fulfilling legal reporting duties or informing the parent. .
Correct Answer is A
Explanation
Choice A rationale
Tertiary prevention involves strategies aimed at managing and improving outcomes of existing health conditions, such as assessing and supporting survivors of trauma like post-traumatic stress syndrome.
Choice B rationale
Policy development is not a level of prevention; it involves creating frameworks to promote public health interventions rather than focusing on individual care.
Choice C rationale
Primary prevention focuses on preventing the occurrence of disease or trauma through measures like immunizations or lifestyle changes before health issues arise.
Choice D rationale
Secondary prevention entails early detection and intervention for diseases or conditions to prevent progression, such as screening tests.
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