Charles, the nurse, is working in an emergency department and is assessing a preschool-age child who reports abdominal pain. Which of the following findings should alert the nurse to possible abuse (select all that apply)

Areas of ecchymosis on the torso.

Mismatched clothing

Abrasions on knees

abdominal rebound tenderness

Round burn marks on forearms

Answer and Explanation

Correct Answer : A

A. Areas of ecchymosis on the torso. Ecchymosis on the torso, especially in non-ambulatory children, can be concerning for abuse. Unexplained bruises in unusual locations or patterns are red flags for physical abuse.

B. Mismatched clothing: Typically not an indicator of abuse but could suggest neglect.

C. Abrasions on knees: Common in active children and not specific to abuse.

D. Abdominal rebound tenderness: Could indicate abdominal pathology but not necessarily abuse.

E. Round burn marks on forearms: Could suggest burns but not specific to abuse without further context.

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Correct Answer is C

Explanation

A. Stable employment: Provides stability but does not necessarily prevent crisis during personal or environmental upheaval.

B. Positive coping skills: Mitigates crisis risk but does not eliminate it entirely.

C. History of trauma. Past traumatic experiences can predispose individuals to crisis during similar stressful situations. Previous trauma can lead to heightened stress responses and difficulty coping with subsequent stressors.

D. Strong social support system: Helps buffer stress but does not prevent crisis in all situations.

A. Hypnosis B. Cognitive-behavioral therapy (CBT) C. Medication D. Physical restraint

Correct Answer is B

Explanation

A. Hypnosis: Not typically used for aggressive behavior disorders.

B. Cognitive-behavioral therapy (CBT). CBT is effective in modifying behavioral responses and addressing aggression through structured therapy sessions. CBT helps individuals recognize triggers for aggressive behavior and develop coping strategies.

C. Medication: Sometimes used adjunctively but not typically first-line for behavioral therapy.

D. Physical restraint: Used in emergencies but not a treatment for the disorder itself.

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Charles, the nurse, is working in an emergency department and is assessing a preschool-age child who reports abdominal pain. Which of the following findings should alert the nurse to possible abuse (select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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