A teacher suspects a child is being maltreated at home and takes them to the school nurse. Which of the following findings should the nurse report as an indication of possible maltreatment?
The child has recent onset of urinary incontinence.
The child receives free lunches at school.
The child has bruises on both knees.
The child reports having a toothache.
The Correct Answer is A
Choice A reason: The child has recent onset of urinary incontinence is a possible sign of maltreatment, as it may indicate sexual abuse, emotional trauma, or neglect. The school nurse should report this finding to the child protective services and follow up with the child and the family¹².
Choice B reason: The child receives free lunches at school is not a sign of maltreatment, but rather a socioeconomic indicator. The school nurse should not assume that the child is maltreated based on this factor alone, but rather assess the child for other signs and symptoms of abuse or neglect³.
Choice C reason: The child has bruises on both knees is not a sign of maltreatment, but rather a common injury among children who are active and playful. The school nurse should not report this finding unless there are other suspicious circumstances, such as inconsistent explanations, unusual locations, or patterns of bruises⁴.
Choice D reason: The child reports having a toothache is not a sign of maltreatment, but rather a health issue that may require dental care. The school nurse should not report this finding unless there are other signs of neglect, such as poor oral hygiene, lack of access to health care, or failure to follow up on referrals⁵.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Sitting on a shower chair while showering is a safe practice for individuals with lower extremity weakness. It provides stability and reduces the risk of falls in a wet environment.
Choice B reason: Placing small throw rugs on non-carpeted floors is hazardous. They can easily slip or cause tripping, especially for someone using a walker.
Choice C reason: Advising a client to ambulate without a walker when they are experiencing weakness could lead to falls and is not a safe recommendation.
Choice D reason: Using 40-watt bulbs in light fixtures may not provide adequate lighting for safety. Brighter bulbs are recommended to ensure clear visibility, reducing the risk of accidents.
Correct Answer is C
Explanation
Choice A reason: Evaluating the methods of successful smoking cessation programs is an important step in planning a smoking cessation program, but it is not the first action the nurse should take. The nurse needs to assess the needs and characteristics of the target population before selecting the most appropriate methods and interventions¹.
Choice B reason: Gaining community support for the program is a key factor in ensuring the program's sustainability and effectiveness, but it is not the first action the nurse should take. The nurse needs to identify the stakeholders and partners who can help with the program's implementation and evaluation².
Choice C reason: Determining the prevalence of smoking in the community is the first action the nurse should take. This is an assessment step that will help the nurse estimate the magnitude of the problem, identify the risk factors and barriers, and prioritize the goals and strategies for the program³.
Choice D reason: Formulating objectives for the smoking cessation program is a planning step that requires assessment data. The nurse should not formulate objectives without first determining the prevalence of smoking in the community and the needs and preferences of the potential participants⁴.
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