Based on the research data, which of these children being followed by a pediatric nurse has the highest risk of experiencing fatal abuse?
A child who is 8 years old and has appendicitis.
A child who is 11 years old and has a fractured humerus.
A child who is 2 years old and has cerebral palsy.
A child who is 5 years old and has varicella.
Answer: C
The Correct Answer is C
A. Appendicitis is a common condition and does not inherently increase the risk of fatal abuse.
B. A fractured humerus may be concerning but is not as high-risk for fatal abuse as younger children with significant disabilities.
C. A child with cerebral palsy, especially at a young age, is at higher risk of fatal abuse due to increased dependency and vulnerability.
D. Varicella (chickenpox) is a contagious disease but does not significantly increase the risk of fatal abuse.
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Correct Answer is D
Explanation
A. Establish a rapport with the victim and the abuser: While establishing rapport with the victim is important, it is essential to first ensure the victim’s safety and privacy. The abuser should not be present during this interview because it could lead to intimidation and prevent the victim from being open and honest.
B. Request the presence of a security guard: While security may be necessary if there is a concern about the victim’s immediate safety, the priority should be to establish privacy for the interview. If the situation becomes dangerous, security can be called afterward.
C. Contact the appropriate legal services: Legal services may be contacted later, but the immediate priority is to ensure that the victim has the opportunity to speak without fear of the abuser’s presence. Legal support and other services can be arranged after the interview.
D. Ensure privacy for interviewing the victim away from the abuser: The victim must feel safe to speak honestly and openly about the abuse. To ensure confidentiality and prevent the abuser from overhearing, the nurse must first create a private space for the interview. This step is critical for establishing trust and gaining accurate information about the situation.
Correct Answer is A
Explanation
A. Stockholm Syndrome is a psychological phenomenon where victims develop positive feelings toward their captors or abusers and negative feelings toward those who oppose them.
B. Extreme stress may occur in victims but does not specifically describe the loyalty and negative feelings toward others as described.
C. Glamorizing exploitation refers to viewing exploitation in a positive light, which does not align with the feelings of loyalty and animosity described.
D. Sexual confusion does not accurately capture the dynamics of loyalty to a controller and hostility toward others.
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