Solutions
a 2 1/2 year old child is admitted for treatment of injuries
supposedly sustained in a fall down a flight of stairs. which
statements are more likely to come from a parent who engages
in child abuse? select all that apply Correct Answers 1. trial
and error is a way for kids to learn about accidents and dangers
2. every time i turn around the kid is falling over something
3. this child is adventurous and doesn't understand about getting
hurt
4. the kid didn't have a problem using the stairs without my help
before this
5. little kids are always on the go, and i just can't keep running
after him
A 2 year old child is admitted with multiple fractures and
bruises, and abuse is suspected. Which assessment finding
supports the nurses suspicion? Select all that apply Correct
Answers difficulty consoling
underdevelopment for age
A 7-year-old child sustains a fractured femur in a bicycle
accident. The admission x-ray films reveal evidence of fractures
on other long bones in various stages of healing. Which would
the nurse suspect as the cause of the fracture? Correct Answers
child abuse
a client admitted for substance abuse detoxification displayed
extreme anger toward their spouse. which conclusion can be
drawn based on the documentation about the client below?
,Correct Answers the nurse responded inappropriately, because
the threat of harm to the spouse was unaddressed
A client has been robbed, beaten and sexually assaulted. The
primary health care provider prescribes 0.25 mg of alprazolam
for agitation. which event would alert tenures to administer this
medication Correct Answers the client requests something to
calm her
a client throws a chair and starts screaming at the other clients,
who become frightened, upset, and anxious. which action would
the nurse take after the agitated client is removed? Correct
Answers arrange a unit meeting to discuss what has just
happened
A client who has a history of a short temper and physically
abusive behavior is extremely anxious at the time of admission.
which nursing action is the priority? Correct Answers assign a
staff member to supervise the client in the admission area
A client who has a history of aggressive, violent behavior
becomes very angry and starts screaming at the nurse and
pounding on the table. Which assessment is the priority?
Correct Answers Degree of control over the behavior
a client who has been sexually assaulted says, " i should have
fought back". which response is the most therapeutic? Correct
Answers whatever action you took, it was the right action
because it saved your life
, a client with a known history of opioid addiction has a surgical
repair of multiple stab wounds to the abdomen. after surgery, the
clients pain is not relieved by the prescribed morphine
injections. Which phenomenon is the client experiencing when
they fail to achieve pain relief? Correct Answers tolerance
A married woman reports intermittent episodes of being beaten
by her husband. which behavior is typical of the honeymoon
stage in the cycle of domestic violence? Correct Answers
husband brings flowers and shows kindness
A parent is worried about the sudden behavioral changes in their
child. The child has suddenly developed a fear of certain people
and places. The childs school performance is declining rapidly,
and the child has developed poor relationships with is or her
peers. After assessing the physical findings of the child, the
nurse suspects child abuse. Which physical findings would have
led the nurses to this suspicion ? Correct Answers foreign
bodies in the rectum, urethra or vagina
A student reports that his mother beat him and that he has
bruises on his back and shoulders. Which initial nursing action
is priority? Correct Answers assessing the child for the
presence of bruises
a toddler who was physically abused is admitted to the pediatric
unit. which behavior would the nurse expect when approaching
the child? Correct Answers exhibiting fear of physical contact
initiated by anyone