The nurse is a mandatory reporter of child abuse. Which of the following must be present before authorities should be notified?
Statements from witness
Suspicion of child abuse and neglect
Statements from the victim
Proof of abuse and neglect
The Correct Answer is B
A. Statements from witness: Having a witness statement can strengthen the case, but it is not a requirement before a nurse makes a report. Mandatory reporting focuses on ensuring early protection for the child even if no one directly observed the abuse.
B. Suspicion of child abuse and neglect: Nurses are legally required to report whenever there is reasonable suspicion of abuse or neglect. The responsibility is to notify authorities, who will then investigate and determine whether abuse has occurred.
C. Statements from the victim: A child may not always disclose abuse due to fear, shame, or inability to communicate. Because of this, mandatory reporting laws do not require a direct statement from the victim before a report is made.
D. Proof of abuse and neglect: Proof is not necessary for reporting, as the nurse’s role is not to investigate or confirm abuse. Requiring proof would delay intervention, leaving the child at risk of further harm while awaiting evidence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. No sensation: Complete absence of sensation would not be expected during sinus palpation, as light pressure typically produces some awareness of touch. A normal response is mild firmness rather than no feeling at all.
B. Pain sensation behind eyes: Pain behind the eyes may indicate sinus inflammation or infection, particularly of the ethmoid sinuses. This is not a normal finding during sinus palpation.
C. Firm pressure: During a normal palpation of the frontal and maxillary sinus areas, a patient should feel firm pressure but no tenderness or pain. This indicates that the sinus cavities are clear and not inflamed or infected.
D. Pain during palpation: Pain elicited during palpation suggests sinus tenderness, which is usually associated with sinusitis or other pathology. This finding would not be considered normal.
Correct Answer is B
Explanation
A. Reflexes cannot be elicited: Even in unconscious patients, deep tendon reflexes (DTRs) may still be present unless there is specific spinal cord or peripheral nerve damage. Complete absence of reflexes is not expected solely from a head injury.
B. Some reflexes will be present, depending on the area of injury: While localized brain injury can affect voluntary motor control, DTRs are spinal reflexes and are generally preserved regardless of the site of brain trauma.
C. Reflexes will be normal: Deep tendon reflexes are intact in unconscious patients without spinal cord injury. The reflex arc operates independently of the patient’s level of consciousness, so normal DTRs are an expected finding.
D. All reflexes will be diminished but present: Reflex responses may vary; some may be normal, some diminished, and some exaggerated depending on the affected pathways. It is unlikely that all reflexes are uniformly diminished in head trauma without spinal involvement.
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