Question 1

Which are clinical manifestations of sexual abuse that the nurse should include when assisting with the assessment process? (Select all that apply.)&#10;A) Radar gaze&#10;B) Poor hygiene&#10;C) Vaginal discharge&#10;D) Positive chlamydia culture&#10;E) Ecchymosis located on the inner thighs&#10;

Accepted Answer

Vaginal discharge&#10;Positive chlamydia culture&#10;Ecchymosis located on the inner thighs

Question 2

Which percentage of reported cases of child abuse in the United States reflects child neglect?&#10;A) 12%&#10;B) 16%&#10;C) 24%&#10;D) 52%&#10;

Accepted Answer

Child neglect accounts for the highest percentage of reported cases of child abuse in the United States, at approximately 52%. This includes situations where the child's basic needs for food, shelter, clothing, medical care, and protection are not met.

Question 3

Which child factor that contributes to abuse should the nurse assess for when abuse is suspected?&#10;A) Low self-esteem&#10;B) Temperament that is demanding&#10;C) Stress that is chronic in nature&#10;D) Poverty-level socioeconomic status&#10;

Accepted Answer

A demanding temperament in a child can sometimes trigger abusive behavior from caregivers who may feel overwhelmed or unable to cope with the child's needs or behavior.

Question 4

Which is a component of constructing patient-centered goals when planning care for a school-aged patient who is being abused?&#10;A) Family-centered&#10;B) Past-oriented&#10;C) Measurable&#10;D) Based on medical principles&#10;

Accepted Answer

Patient-centered goals should be measurable to track progress and adjust care as needed. This allows for specific, quantifiable objectives that can be evaluated over time.

Question 5

Which is a nursing responsibility when providing care to a child who is being abused?&#10;A) Filing a report with child protective services&#10;B) Taking photographs of the child's injuries on a personal cell phone&#10;C) Determining who is abusing the child&#10;D) Washing a child who is being sexually abused upon arrival to the department&#10;

Accepted Answer

Filing a report with child protective services is a legal requirement for healthcare providers who suspect a child is being abused or neglected. It is important for the safety and well-being of the child. B, C, and D are not appropriate nursing responsibilities in this situation.

Question 6

Which is a priority nursing action when providing care to a school-aged child who is experiencing abuse?&#10;A) Meeting the child's immediate psychological needs&#10;B) Planning for the child's long-term physical needs&#10;C) Earning the trust of the child's parents&#10;D) Engaging the child in play to encourage expression of anxiety&#10;

Accepted Answer

Meeting the child's immediate psychological needs is the priority nursing action when providing care to a school-aged child who is experiencing abuse. The child may be in a state of emotional distress and requires support and reassurance. It is essential to establish a therapeutic relationship with the child and create a safe, non-threatening environment for them to express their emotions. Planning for the child's long-term physical needs, earning the trust of the child's parents, and engaging the child in play to encourage expression of anxiety are also important aspects of care, but meeting the child's immediate psychological needs is the priority.

Question 7

Which pediatric patient is at increased risk for child abuse,necessitating a focused nursing assessment?&#10;A) A 3-year-old child who is toilet-trained&#10;B) A 1-year-old child who was born at 41 weeks' gestation&#10;C) A 9-month-old child,born prematurely,who is diagnosed with reflux&#10;D) A 10-year-old child who is active in sports and recently made the honor roll&#10;

Accepted Answer

Premature infants and infants with medical conditions such as reflux are at increased risk for child abuse because they may be perceived as being more "difficult" to care for by stressed or overwhelmed caregivers. It is important for nurses to conduct a focused assessment on these patients and their families to assess for any signs of abuse. The other options do not have any known factors that would increase the risk for child abuse.

Question 8

Which is a behavioral indicator of abuse when providing care to a pediatric patient?&#10;A) Ecchymosis&#10;B) Rash&#10;C) Vaginal discharge&#10;D) Radar gaze&#10;

Accepted Answer

Radar gaze, also known as avoiding eye contact or not making eye contact, is a common behavioral indicator of abuse in pediatric patients. It may indicate that the child is afraid or uncomfortable with the person providing care and may be a sign of emotional, physical, or sexual abuse. Ecchymosis (bruising), rash, and vaginal discharge may also be signs of abuse, but they are physical signs rather than behavioral indicators.

Question 9

The nurse is providing care for a child of Asian descent who is experiencing an exacerbation of asthma.The nurse notes bruising on the child's back in the shape of a Christmas tree.Which question exhibits therapeutic communication when conducting the health history assessment on the basis of the current data?

A) "Why are you subjecting your child to this treatment?"
B) "Do you use spooning when caring for your child's breathing issues?"
C) "Have you ever been accused of abusing or neglecting your child?"
D) "Do you require a medical translator during the interview process?"

Accepted Answer

Option A is confrontational and judgmental which could cause the parent to become defensive and may not lead to productive communication. Option C is accusatory and may cause the parent to become defensive or uncooperative. Option D is not relevant to the current data presented. Option B is asking about a cultural practice (spooning) that may be relevant to the child's care, while also not assuming that the bruising is related to abuse.

Question 10

Which environmental influence should the nurse include when assessing a child's risk for abuse?&#10;A) A history of cruelty to animals&#10;B) A lack of follow-through for medical follow-up&#10;C) The use of multiple health-care providers&#10;D) The family frequently relocates to different geographical locations.&#10;

Accepted Answer

Frequent relocation can disrupt social support systems and increase stress, which may contribute to a higher risk of child abuse.

Question 11

Which factors associated with sexual abuse should the nurse include in an educational session regarding this topic? (Select all that apply.)&#10;A) Anyone can be an abuser.&#10;B) The middle daughter is often the victim.&#10;C) Male victims are less likely to report the abuse.&#10;D) Pedophiles often choose to work closely with children.&#10;E) The perpetrator is typically someone the family does not know.&#10;

Accepted Answer

The answer of Which factors associated with sexual abuse should...

Question 12

Which is the most common form of child abuse around the world that the nurse should assess for when caring for children?&#10;A) Physical&#10;B) Emotional&#10;C) Neglect&#10;D) Sexual&#10;

Accepted Answer

The answer of Which is the most common form of...

Question 13

Which clinical manifestation noted during a physical examination causes the nurse to suspect physical abuse?&#10;A) Traumatic alopecia&#10;B) Extremity fractures&#10;C) Unilateral ecchymosis of the eye&#10;D) Weight below the 10th percentile&#10;

Accepted Answer

The answer of Which clinical manifestation noted during a physical...

Question 14

Which individuals are mandatory reporters of child abuse? (Select all that apply.)&#10;A) Parents&#10;B) Grandparents&#10;C) Childcare providers&#10;D) Commercial film developers&#10;E) Child protective services employees&#10;

Accepted Answer

The answer of Which individuals are mandatory reporters of child...

Question 15

Which factors associated with Munchausen syndrome by proxy should the nurse include in an educational session regarding this topic? (Select all that apply.)&#10;A) The child is usually under the age of 10 years.&#10;B) The child often displays symptoms during the hospitalization.&#10;C) The child has had multiple hospitalizations in the medical history.&#10;D) The perpetrator is usually the father with some knowledge of health care.&#10;E) The claimed history is not supported by evidence found by health-care providers.&#10;

Accepted Answer

The answer of Which factors associated with Munchausen syndrome by...

Question 16

The licensed practical nurse (LPN)notes annular ecchymosis on a school-aged child's back.The LPN is not sure if this is due to abuse or a cultural practice.Which is the priority action by the LPN?&#10;A) Contacting child protective services&#10;B) Asking the registered nurse to assist with the assessment&#10;C) Instructing the parent to proceed to the waiting room for the remainder of the examination&#10;D) Initiating a child life specialist consult for a more in-depth assessment of the current situation&#10;

Accepted Answer

The answer of The licensed practical nurse (LPN)notes annular ecchymosis...

Question 17

Which health-care provider is mandated by law to report suspected child abuse?&#10;A) Baptist priest&#10;B) Day-care provider&#10;C) Basketball coach&#10;D) Registered nurse&#10;

Accepted Answer

The answer of Which health-care provider is mandated by law...

Question 18

Which circumstance requires the nurse to obtain assistance from local law enforcement when providing care to a child who is being abused?&#10;A) For a child who is at risk for further abuse&#10;B) For a child who is emotionally abused&#10;C) For any child who is sexually abused&#10;D) For any child who is physically neglected&#10;

Accepted Answer

The answer of Which circumstance requires the nurse to obtain...

Question 19

The nurse suspects that a child is being sexually abused.Which nursing action is appropriate?&#10;A) Using a personal cell phone to collect images for documentation&#10;B) Asking a novice nurse to assist in the data collection&#10;C) Reviewing institutional policy regarding reporting abuse to authorities&#10;D) Bathing the child after the collection of evidence&#10;

Accepted Answer

The answer of The nurse suspects that a child is...

Question 20

Which is a child factor that may increase the risk for abuse?&#10;A) Substance abuse&#10;B) Lack of respite care&#10;C) Developmental delay&#10;D) History of divorce&#10;

Accepted Answer

The answer of Which is a child factor that may...

Deck 28: The Abused Child