The nurse is assessing a 32-year-old client who is one month postpartum. The client has another child, age 4 years. The nurse suspects that there may be evidence of intimate partner violence and is concerned about the 4-year-old child. Which of the following factors would indicate to the nurse that the child is at risk for abuse? SELECT ALL THAT APPLY

The child attends a childcare program three days per week.

The partner mainly lives with his parents in another home.

The child reports seeing the mother being hit with a baseball bat.

The child is observed to cling to mother's side.

The partner is unemployed and abuses alcohol.

Answer and Explanation

Correct Answer : C,D,E

A. The child attending a childcare program does not necessarily indicate risk for abuse. Childcare attendance alone does not provide evidence of abuse risk.

B. The partner living with his parents may affect the dynamics of the household but does not directly indicate risk for the child unless further context suggests otherwise.

C. The child reporting seeing the mother being hit with a baseball bat is a significant indicator of potential abuse and trauma, which could put the child at risk.

D. Clinging to the mother's side may indicate anxiety or fear, which could be related to an abusive environment or trauma.

E. Unemployment and alcohol abuse by the partner are risk factors for intimate partner violence and can also affect the safety and well-being of the child.

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Correct Answer is B

Explanation

A. Submitting a formal complaint to OSHA may be a necessary step if internal resolution fails, but it is not the immediate action to address the issue.

B. Reporting non-compliance to the infection control department is the most appropriate action. This department is responsible for ensuring adherence to safety protocols and can address the issue promptly.

C. While reminding colleagues and documenting the incident are important, reporting to the infection control department ensures a formal review and follow-up on the issue.

D. Conducting in-service training is useful for education but may not immediately address non-compliance or ensure adherence to OSHA regulations.

A. Change the subject to focus on medication compliance. B. Accept that cultural beliefs about illness can change. C. Explain that foods cannot cure mental health disorders. D. Arrange for the client to speak with a dietitian.

Correct Answer is D

Explanation

A. Changing the subject to focus on medication compliance might ignore the client's cultural beliefs and could undermine trust. It is important to address both cultural beliefs and medical treatment.

B. Accepting that cultural beliefs can change is not as relevant as understanding and respecting the client's current beliefs while guiding them towards effective treatment.

C. Explaining that foods cannot cure mental health disorders may come across as dismissive of the client's beliefs. It is more effective to acknowledge the client's beliefs while providing appropriate guidance.

D. Arranging for the client to speak with a dietitian is a culturally sensitive approach that respects the client's beliefs and provides an opportunity to discuss the role of diet in a way that complements medical treatment. This approach integrates cultural respect with professional guidance.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A client who is Asian-American is being treated for depression and explains to the nurse that eating specific foods will restore the balance of hot and cold and they will be cured. Which of the following is the most appropriate action for the nurse to take?

Correct Answer is D

Explanation

The emergency department routinely screens clients for possible abuse. Which tool is the most validated and commonly used to assess for safety when screening for abuse?

The nurse is assessing a 38-year-old female for the possible presence of spousal abuse. Which of the following questions would be appropriate for the nurse to ask first?

While assessing a family system, the nurse is aware that which of the following can alter the family dynamic?

To provide culturally competent care, nurses must be alert to factors that express bias against certain traditions. Which examples exemplify cultural imposition? (Select All that Apply)

The nurse is interviewing a client who presents with a dislocated shoulder who appears anxious and relies on her partner to answer questions. While the partner is out of the room, which question is most important for the nurse to ask?

The Calgary Family Interventions Model (CFIM) focuses on enhancing, improving, and sustaining family functioning through the establishment of a collaborative partnership between the nurse and the family. These interventions have which of the following guidelines? (Select all that apply)

John Snow investigated death rates due to the cholera epidemic; and found it was the pump that delivered the water that was contaminated. Cholera is considered to be which type of hazard?

When instructing students about human trafficking, the nurse would realize the need for further instruction if students identify which of the following as a risk for human trafficking?