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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Offering spiritual counseling and emotional support → Parish nurses focus on spiritual care, health promotion, and disease prevention. They provide guidance, counseling, and support to individuals experiencing chronic illnesses, grief, or life challenges, aligning with the faith-based mission of holistic healing.
B. Conducting a health screening and providing immunizations → While parish nurses may help coordinate health screenings, they typically do not administer vaccines or medical treatments. Their role is more about education, advocacy, and support rather than direct clinical care.
C. Administering medications and performing advanced medical procedures → Parish nurses do not provide direct medical care such as medication administration or procedures. They refer clients to healthcare providers when needed.
D. Developing and implementing a public health policy → While parish nurses may advocate for health initiatives, they do not develop public health policies. Their role is more community-based and focused on faith-integrated care rather than policy-making.
Correct Answer is D
Explanation
A. Bruises from a sports injury are less likely to indicate intimate partner violence without additional context.
B. Stress from work is a general issue and does not directly suggest intimate partner violence.
C. A fall down the stairs could be an accident; however, further context is needed to assess if this is related to violence.
D. Fear at home and reluctance to discuss it could indicate underlying intimate partner violence, requiring further assessment and intervention.
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