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 D
Explanation
Choice A rationale
Prior knowledge of diabetes does not scientifically signify a barrier. Familiarity through a relative can provide foundational awareness, reducing hesitancy in engaging with new management practices or educational material.
Choice B rationale
Belief in ease due to avoiding insulin shots reflects misconceptions about diabetes, but does not scientifically indicate a learner-related barrier. This could reflect limited understanding rather than difficulty in comprehension.
Choice C rationale
Downplaying the impact of type 2 diabetes ignores scientific evidence of significant lifestyle changes needed for its management. However, this denotes misunderstanding rather than a barrier to learning.
Choice D rationale
Difficulty with reading presents a direct scientific barrier. Limited ability to absorb written educational material necessitates alternative teaching methods for effective comprehension of diabetes management concepts. .
Correct Answer is B
Explanation
Choice A rationale
Harm reduction models aim to support individuals with substance use issues, contrasting this statement's dismissive approach that denies intervention possibilities and health promotion.
Choice B rationale
Harm reduction acknowledges addiction as a multifactorial health issue, requiring evidence-based interventions targeting biological, psychological, and social determinants of substance use.
Choice C rationale
Public health frameworks highlight substance use as a significant issue due to its widespread health, social, and economic implications, refuting claims of its insignificance.
Choice D rationale
Effective addiction treatment incorporates comprehensive, personalized strategies proven to yield success, countering the assertion of ineffectiveness for most individuals.
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