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N472 Final Exam SG Questions With Complete Answers

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N472 Final Exam SG Questions With Complete Answers...

Institution
N472
Course
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N472 Final Exam SG Questions With
Complete Answers

Question 29
In identification of the abused child, the nurse knows:
a. physical abuse can be readily identified during the physical examination.
b. specific behavioral problems can be seen in the abused child.
c. maltreated children easily admit to the abuse they received from their
parents.
d. incompatibility between the history and the injury is probably the most
important criterion on which to base the
decision to report suspected abuse. - ANSWER d. incompatibility between the
history and the injury is probably the most important criterion on which to base
the
decision to report suspected abuse

Question 30
In obtaining a history pertaining to an incident of abuse, the nurse should:
a. expect the child to betray the parents by admitting to the abuse received.
b. expect the child to defend the parents out of a sense of loyalty.
c. recognize that the child will have a sense of relief after telling someone about
the abuse.
d. avoid biasing the child's retelling of the events. - ANSWER d. avoid biasing the
child's retelling of the events

Question 31
Which of the following parental behavioral responses should alert the nurse to
the possibility of maltreatment of the child?
a. Parent displays extreme care for the child, not wanting to leave the child's
side.
b. Parent displays signs of guilt, not being able to eat or sleep.
c. Parent displays abnormal interest in the incident, going over each detail
repeatedly. d. Parent displays anger at the child for being injured. - ANSWER d.
Parent displays anger at the child for being injured

Question 32
Physical assessment for child physical abuse:
a. should identify all injuries.
b. should always begin with rapid assessment of airway, breathing, circulation,
and neurologic systems.
c. should recognize that all forms of physical abuse have obvious signs.

, d. should occur only after legal authorities have been notified. - ANSWER a.
should identify all injuries

Question 34
The nurse working with the abused child and family:
i. should view the parent and child as victims.
ii. should teach the parents through demonstration and example rather than
lecture.
iii. recognizes that parents need to correct abnormal behavior in the child—for
example, "We told you not to go
with strangers."
iv. recognizes that the goal of the nurse-child relationship is to provide a role
model for the parents in helping
them to relate positively to their child.
a. i, ii, iii, and iv
b. ii, iii, and iv
c. i and iii
d. ii and iv - ANSWER d. ii and iv

Question 35
Based on the information provided, the nurse suspects that Malcolm is being
physically abused. Which one of the following best supports this theory?
a. Malcolm's mother is distant and angry with Malcolm about his injuries.
b. Malcolm's mother blames his older brother for Malcolm's injuries.
c. Malcolm tells the nurse, "My mom hurt my arm."
d. Malcolm has physical evidence of previous injuries that are in various stages
of healing. - ANSWER d. Malcolm has physical evidence of previous injuries that
are in various stages of healing

Question 36
Based on the above physical findings, documentation should include:
i. location and detailed description of arm injury, including asymmetry of injury
and pain degree.
ii. color, size, and location of all bruising, including distinguishing
characteristics such as shape.
iii. location, pattern, demarcation lines, and presence of escar, blisters, or
scarring for burns.
iv. photographs of the injuries using a measurement tool.
a. i, ii, iii, and iv
b. ii and iii
c. i, ii, and iv
d. ii, iii, and iv - ANSWER a. i, ii, iii, and iv

Question 37
The best nursing goal for Malcolm at this time is:
a. identification of all injuries.

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