ABUSE

18問 • 1年前

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Parents bring their 2-year old daughter into the emergency department after picking her up from her aunt's house. They are concerned that she has an upper respiratory infection. The nurse notices bruises on the patient's posterior thigh, wrists, and upper back. They appear to be in different stages of healing. Once the patient is stable after administering a bronchodilator and steroid, what should the nurse do?

Call the department of child and family services (DCFS)

A woman comes into the emergency department with multiple bruises on the face and head. The nurse suspects that intimate partner violence (IPV) may be the cause of her injuries. What is the most appropriate action for the nurse to take at this time?

Ask the person if she is afraid of someone at home who is hurting her.

Which of the following findings would lead you to suspect non-accidental trauma in your 1-year-old burn victim patient? Select all that apply.

Circumferential burns on the feet , Same thickness of skin damage throughout the burn

A nurse is speaking with the mother of a 3-year-old in the emergency department. After an assessment, the mother is suspected of abusing the toddler. Following a conversation between the nurse and the mother, which finding would most support the suspicion of maternal child abuse?

The mother complains her toddler seems to be different from others.

The nurse is talking about child abuse to a number of parents. The nurse should include which definition of child abuse in the teaching plan:

Assault is a threat to do bodily harm to another person.

The clinic nurse notices bruises at multiple stages of healing on a 2-year-old. The nurse also sees a couple of burns on the toddler's trunk. What would be the nurse's most appropriate action?

Call Child Protective services

A nursing student in a pediatric unit at a hospital asks the clinical nurse educator about a nurse's legal responsibilities in cases of suspected child abuse. Which of the following would be the most appropriate response by the nurse educator?

A nurse is required to directly report their suspicions to the local child protection agency and/or law enforcement agency.

While working in an outpatient pediatric clinic, the RN knows that as a mandated reporter it is important to monitor for suspected child abuse in all clients. The most common physical sign of child abuse is

Bruising

The nurse is working with a woman who is five months pregnant and attending her first prenatal appointment after completing the client’s history. The nurse suspects that she is a victim of domestic violence. Which of the ff is not a sign of domestic violence?

Weight gain

While working in the emergency department, the nurse sees each of the following clients. As a mandated reporter, the nurse knows which client is at highest risk for elder abuse?

A 92-year old male with late-stage Alzheimer's disease.

A nursing student is currently learning about domestic violence and wonders why the abused individual cannot "just quickly get out of the relationship." Which theoretical model helps in explaining the cyclical and progressive nature of domestic and spousal abuse?

The Cycle of Violence

A 6-year-old is admitted to the hospital for multiple fractures and is subsequently identified as a victim of child abuse. A community health nurse (CHN) is assigned to the child following discharge from the hospital. Which characteristics would the CHN expect to see from the child?

The child becomes aloof and isolated from peers.

A woman is brought to the ER crying and shocked. She tells the nurse that she has just been raped. What should be the nurse's initial action?

Assess her for injuries

A 78-year-old woman is brought to the emergency department (ED) for evaluation of an arm injury. During the assessment, the nurse notices contusions in varying stages of healing covering the client's chest and legs. When the nurse asks how the bruises were sustained, the client reluctantly states that her son frequently hits her "if supper is not ready when he gets home from work." Which of the following is the most appropriate nursing response?

"I appreciate your honesty, but I need to inform you that I am a mandated reporter, and I am required to report this."

A nurse is assessing a patient for possible domestic violence. The nurse should know that all of the following are warning signs of the presence of violence except: Select all that apply.

Wanting to have family involved

The nurse is triaging a child with bilateral lower extremity chemical burns. The nurse suspects that the child may have been abused. The nurse should take which initial action?

Irrigate the affected area with saline

The school nurse has performed an assessment on a 6-year-old child who has been sent to the office after a teacher developed concerns for his safety. Which findings will lead the nurse to investigate other signs of neglect?

The child is frequently absent from school and is tired when he does attend.

When assessing a 2-year-old patient for potential neglect. Which of the following signs should the nurse assess for? Select all that apply.

Developmental milestones, Height and weight

Astignars random QS

Kyla Angelique Son · 19問 · 1年前

Astignars random QS