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 A

Explanation

A. Advocating for school policies aligns with "Policy Development and Enforcement" as it involves influencing and developing policies that can impact a large population and address public health issues systematically.

B. Educational workshops are valuable for raising awareness and educating individuals but are more aligned with direct education and promotion rather than policy development.

C. Community events promote physical activity and are effective in community engagement but fall under community outreach and health promotion rather than policy development.

D. One-on-one counseling focuses on individual support and management rather than developing or enforcing policies.

A. Encouraging the patient to return to her home town might not address immediate safety concerns and could place her at greater risk. B. Providing job agency information does not address the immediate safety and health needs of the patient. C. Ensuring the patient's immediate safety and addressing any urgent medical needs is the top priority. This includes assessing for immediate threats and providing necessary medical care.

Correct Answer is B

Explanation

A. Socioeconomic status can affect stress responses, but resilience specifically refers to the ability to withstand or recover from adversity.

B. Resilience refers to the ability of individuals or groups to withstand or bounce back from adverse conditions or stressors. This describes resistance to risk factors effectively.

C. Increased susceptibility to risk factors describes vulnerability rather than resilience.

D. Sensitivity to risk factors describes vulnerability rather than resilience, which focuses on recovery and resistance.

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Naxlex Comprehensive Predictor Exams

A community health nurse is planning interventions using the Intervention Wheel model to address a rise in childhood obesity in a local community. Which of the following actions aligns with the "Policy Development and Enforcement category of the Intervention Wheel?

Correct Answer is A

Explanation

A. Contacting the employer could potentially put the patient at further risk if the trafficker becomes aware of her location or intentions.

Correct Answer is B

Explanation

A lifeguard at a community pool is responsible for regulating the chlorine level in the water provided by chlorine gas. To which type of hazard is this individual exposed?

The nurse may encounter victims of abuse when working in the emergency department. Which of the following groups require a mandatory report of abuse to the appropriate agency? Select all that apply

Which of the following terms best describes a victim feeling loyalty for their controller, and having negative feelings toward those who may harm the controller?

A nurse is using the Calgary Family Intervention Model to assess and support a family experiencing multiple stressors. According to this model, which of the following actions would the nurse take to effectively address the family's needs?

The nurse is considering making a child abuse or neglect report to protective services. To initiate a report on child abuse or neglect, which of the following criteria does the nurse need to meet?

Which nursing intervention is most likely to help a client in the Emergency Department with extensive soft tissue injuries disclose an incident of domestic violence?