Probably the most important criterion on which to base the decision to report suspected child abuse is which of the following?
Inappropriate parental concern for the degree of injury
Incompatibility between the history and injury observed
Inappropriate response of the child
Absence of parents for questioning about the child's injuries
The Correct Answer is B
A. While inappropriate parental concern can raise suspicion, it is subjective and not as reliable or definitive as physical evidence and history.
B. The most important and objective red flag for suspected child abuse is when the injury does not match the explanation given. This incompatibility strongly suggests that the injury may have been caused intentionally or through neglect, and it warrants immediate reporting.
C. A child’s response can be influenced by fear, trauma, or developmental stage and is not always a clear indicator of abuse.
D. Absence of parents may be suspicious, but it does not confirm abuse and is not sufficient alone to report without supportive findings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Respiratory symptoms are not a primary concern in Kawasaki disease. Although fever may lead to general discomfort, respiratory complications are not characteristic of the condition.
B. While Kawasaki disease does present with skin changes (such as rash, peeling of the skin on the hands and feet), these are secondary findings and not the most critical system to monitor.
C. Gastrointestinal symptoms like abdominal pain may occur, but they are not the major clinical concern or focus for monitoring.
D. Kawasaki disease is a form of vasculitis that primarily affects the cardiovascular system. It can lead to coronary artery aneurysms, myocarditis, and arrhythmias. Continuous monitoring of cardiac function, including echocardiograms and ECGs, is essential for early detection and intervention of life-threatening complications.
Correct Answer is A
Explanation
A. This statement reflects a proper understanding of the peak flow meter’s purpose — it can help detect early changes in airway function before symptoms are felt, allowing for early intervention and improved asthma control.
B. This reflects a misunderstanding of the correct technique — the meter should be reset to zero before each use, and the child should use a full, fast breath to blow into the meter.
C. While daily monitoring is helpful, the peak flow meter does not prevent asthma attacks — this statement reflects false reassurance and misunderstanding.
D. Peak flow should be measured with a single, forceful breath, not multiple breaths — this indicates incorrect use of the device.
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