While assessing a child at the community health clinic, the nurse notes that the toddler has multiple bruises on his legs and buttocks. After reporting suspected child abuse to the supervisor, which action should the nurse take next?

Obtain a restraining order against the father.

Encourage the mother to file a police report.

Ask the child if his father ever spanks him.

Refer the family to protective service agencies.

Answer and Explanation

The Correct Answer is D

A) Obtain a restraining order against the father:
Obtaining a restraining order is a legal action that can be taken to protect the child but is not typically within the scope of the nurse’s immediate responsibilities. This action would involve law enforcement and the legal system rather than being an immediate next step in the healthcare setting. The nurse's role is to report the suspected abuse and ensure that appropriate protective services are involved.

B) Encourage the mother to file a police report:
Encouraging the mother to file a police report is a potential step in addressing the situation, but it should not be the nurse's immediate next action. The nurse's primary responsibility is to ensure that the appropriate child protective services are notified and involved, as they are equipped to handle investigations and interventions in cases of suspected child abuse.

C) Ask the child if his father ever spanks him:
Asking the child about specific forms of discipline, such as spanking, could potentially place the child in a difficult or unsafe position, especially if abuse is suspected. It is not the nurse's role to investigate or interrogate the child directly. Instead, the focus should be on ensuring that the proper authorities are notified to handle the investigation.

D) Refer the family to protective service agencies:
Referring the family to protective service agencies is the most appropriate next step. These agencies are specialized in handling cases of suspected abuse and can provide the necessary intervention and support for the child’s safety and well-being. The nurse's role includes reporting suspected abuse to the appropriate authorities and ensuring that protective services are contacted to investigate and address the situation.

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Correct Answer is A

Explanation

A) Fasting blood glucose average readings were 20% lower at the end of the classes:
This outcome measure directly evaluates the effectiveness of the diabetes education classes. A significant reduction in fasting blood glucose levels indicates that the classes had a positive impact on the clients' diabetes management, reflecting the practical success of the educational interventions.

B) Discussion of food exchanges and calories was a well-attended class:
While class attendance is a positive indicator of interest, it does not measure the actual effectiveness of the classes in improving diabetes management. Attendance alone does not confirm that the information was effectively applied or that it led to improved health outcomes.

C) Demonstrating the use of a blood glucose meter was an effective teaching strategy:
Although demonstrating the use of a blood glucose meter is an important teaching strategy, evaluating its effectiveness does not provide a comprehensive measure of the overall impact of the classes. The ultimate goal is to see improvements in health outcomes, such as blood glucose control.

D) Parking convenience for attendees continued to be a major concern:
While logistical issues like parking convenience are important for class accessibility, they do not reflect the effectiveness of the educational content in improving health outcomes. The focus should be on measurable changes in clients' health status, such as blood glucose levels.

A. Low income families living in cramped quarters. B. Sexually active persons with multiple partners. C. IV drug users who share needles. D. Those who have recently received a blood transfusion.

Correct Answer is A

Explanation

A. Low income families living in cramped quarters: Hepatitis A is primarily spread through the fecal-oral route, often through contaminated food or water. Individuals living in overcrowded or unsanitary conditions are at a higher risk due to the increased likelihood of exposure to contaminated sources and poor hygiene practices. Thus, low-income families living in cramped quarters are particularly vulnerable to hepatitis A.

B. Sexually active persons with multiple partners: While hepatitis B and C are more commonly associated with sexual transmission, hepatitis A is less commonly spread through sexual activity. Hepatitis A transmission is more directly related to poor sanitation and hygiene rather than sexual behavior alone.

C. IV drug users who share needles: Intravenous drug users who share needles are at high risk for hepatitis B and C, not hepatitis A. Hepatitis A is not typically transmitted through blood but rather through contaminated food and water.

D. Those who have recently received a blood transfusion: Hepatitis A is not transmitted through blood transfusions. Hepatitis B and C are the types of hepatitis associated with blood transfusions. Hepatitis A is spread through ingestion of contaminated food or water.

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While assessing a child at the community health clinic, the nurse notes that the toddler has multiple bruises on his legs and buttocks. After reporting suspected child abuse to the supervisor, which action should the nurse take next?

Nursing Test Bank

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Explanation

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Correct Answer is A

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