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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A reason: Ensuring client adherence to the medication regimen is crucial in the treatment of tuberculosis. However, this action alone does not prevent the spread of the disease within the community. Adherence ensures that the client's condition improves and reduces the risk of developing drug-resistant strains of tuberculosis.

Choice B reason: Performing tuberculosis screenings throughout the community is a proactive measure to identify new cases, but it is not the most immediate action required when a nurse learns of an active case. Screenings are part of a broader strategy to control tuberculosis.

Choice C reason: Reporting the active case to the public health department is the correct action. It allows for the implementation of public health measures to prevent the spread of tuberculosis. The health department can initiate contact tracing and ensure that those exposed are tested and treated if necessary.

Choice D reason: Providing education about the manifestations of tuberculosis is important for community awareness, but it is not the immediate action required to prevent the spread. Education is a long-term strategy to help the community recognize symptoms and seek early treatment.

A. Teach the client about appropriate food choices. B. Refer the client to a diabetes mellitus support group. C. Identify the client's dietary preferences. D. Develop a nutritional program.

Correct Answer is C

Explanation

Choice A reason: Teaching the client about appropriate food choices is an important action, but not the first one. The nurse should first assess the client's current eating habits and preferences before providing any education.

Choice B reason: Referring the client to a diabetes mellitus support group is a helpful action, but not the first one. The nurse should first establish a rapport with the client and assess their readiness to learn and cope with the diagnosis before making any referrals.

Choice C reason: Identifying the client's dietary preferences is the first action to take. The nurse should use a client-centered approach and respect the client's cultural and personal preferences when planning the nutritional program.

Choice D reason: Developing a nutritional program is a necessary action, but not the first one. The nurse should first collaborate with the client and other health care professionals to design a program that meets the client's needs and goals.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A public health nurse learns that a client is being treated for active tuberculosis. Which of the following actions should the nurse take to prevent the spread of tuberculosis within the community?

Correct Answer is C

Explanation

A home health nurse is visiting a client who has a new diagnosis of diabetes mellitus. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A school nurse is planning primary prevention activities for the new school year. Which of the following should the nurse include? (select all that apply)

A school nurse is reviewing the family history of a school-age child who has a fractured ulna for the second time. Which of the following findings place the child at risk for child abuse? (Select all that apply)

A community health nurse is providing support to the caregiver of a client who has new onset dementia. Which of the following statements should the nurse make to the caregiver?

community health nurse notes that six new cases of diabetes mellitus have been reported in the past 3 months. In the previous year, five cases were reported. The population of the community is 15,000 people. Which of the following is the prevalence proportion for the community?

A community health nurse is providing an in-service to new staff members on isolation precautions. Which of the following diseases should the nurse identify as requiring airborne precautions?

A home health nurse is visiting a client who is recovering from a stroke. The client's adult child has taken on the role of caregiver. Which of the following statements indicates they are adapting to their role change?

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?

A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special bed at home. Which of the following statements should the nurse make first?