During a home health visit, a school-age child who has muscular dystrophy confides in the nurse that he was struck by his parents. Which of the following actions should the nurse take first?
Report the incident to local authorities
Check the child for injuries
Refer the parent to a social service agency
Enroll the parent in anger management classes
The Correct Answer is B
Choice A reason: Reporting the incident to local authorities is an important action, but it is not the first priority. The nurse should first assess the child's physical condition and provide any necessary care.
Choice B reason: Checking the child for injuries is the first action the nurse should take, as the child may have sustained physical harm from the abuse. The nurse should document any findings and report them to the appropriate authorities.
Choice C reason: Referring the parent to a social service agency is a helpful action, but it is not the first priority. The nurse should first ensure the child's safety and well-being.
Choice D reason: Enrolling the parent in anger management classes is a potential intervention, but it is not the first priority. The nurse should first address the immediate needs of the child and the family.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Demographic data is not part of the windshield survey, but rather a secondary source of information that the nurse can obtain from census reports, health statistics, or other documents. Demographic data includes information such as age, gender, race, ethnicity, income, education, and occupation of the community members.
Choice B reason: Mortality rate is not part of the windshield survey, but rather a secondary source of information that the nurse can obtain from vital records, health reports, or other documents. Mortality rate is a measure of the number of deaths in a given population, usually expressed as deaths per 1000 or 100,000 people.
Choice C reason: Informant interviews are not part of the windshield survey, but rather a primary source of information that the nurse can obtain by talking to key informants or community leaders who have knowledge and insight about the community. Informant interviews can help the nurse to identify the community's strengths, needs, problems, and resources.
Choice D reason: Housing quality is part of the windshield survey, which is a direct observation of the community by driving or walking through it. Housing quality includes information such as the type, age, condition, size, and value of the houses, as well as the availability and accessibility of utilities, sanitation, and safety features. Housing quality can reflect the socioeconomic status, health status, and environmental risks of the community.
Correct Answer is C
Explanation
Choice A reason: Presenter's teaching strategies are not the factor that will have the greatest effect on the success of the class. Although the presenter should use effective and appropriate teaching methods that suit the learning objectives and outcomes, the teaching strategies alone cannot guarantee the success of the class if the client is not motivated to quit smoking.
Choice B reason: Presenter's credibility is not the factor that will have the greatest effect on the success of the class. Although the presenter should have the knowledge, skills, and experience to deliver the smoking cessation education, the presenter's credibility alone cannot ensure the success of the class if the client is not motivated to quit smoking.
Choice C reason: Client's motivation is the factor that will have the greatest effect on the success of the class. Motivation is the driving force that influences the client's behavior and actions. The client's motivation to quit smoking can be influenced by various factors, such as personal, social, environmental, or health-related reasons. The presenter should assess the client's motivation level, and use strategies to enhance and sustain it throughout the class.
Choice D reason: Client's education level is not the factor that will have the greatest effect on the success of the class. Although the presenter should consider the client's education level when designing and delivering the smoking cessation education, the client's education level alone cannot determine the success of the class if the client is not motivated to quit smoking.
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