Which is an evidence-based approach for further assessment by a school nurse, who notices bruises and scars on a 5-year-old child's body, but the child refuses to disclose how they received them?

Follow the established protocol for reporting suspected child abuse or neglect to the appropriate authorities.

Convince the child to disclose the cause of the injuries through gentle questioning and persuasion.

Respect the child's privacy and wait for them to share information about the injuries voluntarily. D. Document and discuss the observations with the child's teacher to gather more information.

Answer and Explanation

The Correct Answer is A

A. Follow the established protocol for reporting suspected child abuse or neglect to the appropriate authorities: This is the correct approach according to child protection guidelines. School personnel are mandated reporters and must report suspected abuse or neglect to protect the child's safety.

B. Convince the child to disclose the cause of the injuries through gentle questioning and persuasion: This approach can inadvertently pressure the child and is not recommended as it may lead to further distress or inaccurate information.

C. Respect the child's privacy and wait for them to share information about the injuries voluntarily: While respecting privacy is important, child protection takes precedence when there are signs of abuse or neglect.

D. Document and discuss the observations with the child's teacher to gather more information: While documentation is important, it should not delay reporting suspected abuse or neglect to the appropriate authorities.

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Correct Answer is D

Explanation

A. Early-stage dementia: At this stage, individuals might have some memory problems but can generally maintain independence. The symptoms described (significant memory loss, confusion, difficulty with language, and struggles with daily tasks) are more advanced than what is typically seen in early-stage dementia.

B. Mild cognitive impairment: This is a transitional stage between normal cognitive aging and dementia. It involves some memory problems and cognitive changes but not severe enough to impact daily functioning to the extent described.

C. Severe dementia: In this stage, individuals typically require assistance with most activities of daily living, have severe memory loss, and may not recognize close family members or understand their surroundings. The described symptoms do not yet indicate this level of severity.

D. Moderate dementia: This stage is characterized by more pronounced memory loss, confusion, difficulty with language, and an increasing need for help with daily tasks such as dressing and bathing, matching the client's symptoms.

A. A patient who does not have a support system at home. B. A patient who is refusing to go to group therapy. C. A patient with major depressive disorder and stopped taking his medication. D. A patient who is unable to leave home without assistance.

Correct Answer is D

Explanation

A. A patient who does not have a support system at home: While a lack of support is a concern, it is not a criterion for home-bound health care eligibility.

B. A patient who is refusing to go to group therapy: Refusal to participate in therapy does not meet the criteria for being home-bound.

C. A patient with major depressive disorder and stopped taking his medication: While this is a serious situation, it does not necessarily mean the patient is home-bound.

D. A patient who is unable to leave home without assistance: This fits the definition of being home-bound, which means the patient has a condition that makes leaving the home difficult and requires assistance.

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Which is an evidence-based approach for further assessment by a school nurse, who notices bruises and scars on a 5-year-old child's body, but the child refuses to disclose how they received them?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

The nurse is preparing to discharge a client home from a mental health institution. The nurse should recognize that in order for a mental health client to receive home-bound health care, which of the following criteria must be met?

Correct Answer is D

Explanation

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