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 C

Explanation

A. Identify other resources for providing food service is not the nurse’s primary function during the inspection.

B. Promote the health of clients affected by the previous outbreaks is important but not the primary function during the kitchen inspection.

C. Educate the kitchen workers about safe food preparation is a key function to prevent future outbreaks by ensuring proper food handling practices are followed.

D. Ensure the workers' understanding of various microorganisms is important but less immediate than ensuring safe food preparation practices.

A. A hospital nurse tells a nurse's aide that clients should not be given a choice whether or not to shower or bathe daily. B. A Catholic nurse insists that a client diagnosed with terminal bladder cancer see a priest in residence. C. A nurse treats all clients the same whether or not they come from a different culture. D. A nurse tells another nurse the Jewish diet restrictions are just a way for them to get a special tray of their favorite foods. E. A nurse directs interview questions to an elderly client's daughter despite the client's ability to answer them.

Correct Answer is ["A","B","D"]

Explanation

A. Cultural imposition occurs when a nurse enforces their own cultural norms and practices on clients, such as not allowing them to choose whether to bathe daily.

B. Insisting that a client see a priest based on personal beliefs imposes religious practices on the client, not considering their individual preferences or needs.

C. Treating all clients the same without considering cultural differences is not cultural imposition but rather a lack of cultural competence.

D. Dismissing Jewish dietary restrictions as merely a preference reflects a lack of respect for the client's cultural practices, which is an example of cultural imposition.

E. Directing questions to the client's daughter instead of the client shows a lack of respect for the client's autonomy but does not exemplify cultural imposition.

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Naxlex Comprehensive Predictor Exams

A. Tertiary prevention is correct as it involves managing and improving the quality of life for individuals who already have a chronic disease or disability. Rehabilitation and strength training aim to help the client live better despite the existing condition.

Correct Answer is C

Explanation

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)

Correct Answer is ["A","B","D"]

Explanation

The nurse in the Emergency Department is taking a history from a family accompanying a child with traumatic injuries that are suspicious for abuse. Which of the following actions is most appropriate for the nurse to take?

The nurse working in emergency triage is evaluating a client with injuries frequently associated with physical abuse. Which of the following questions if answered yes by the client would indicate a higher risk of mortality?

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

The nurse is an employee of an institutional-based faith community. Which of the following roles would the nurse serve in this position as opposed to a public health nurse?

A nurse is providing care to a client from a cultural background different from their own. Which of the following actions demonstrates culturally competent care?