A child is admitted to the hospital with physical injuries. Which assessment findings would indicate that the child is a victim of abuse? Select all that apply.
A) Confusion
B) Missing teeth
C) Apprehension when other children cry
D) Abrasions to the mouth, lips, and genitalia
E) Dehydration
...
NUR210 exam 3 ALL ANSWERS CORRECT
2024/25 EDITION GUARANTEED GRADE
A+
A child is admitted to the hospital with physical injuries. Which
assessment findings would indicate that the child is a victim of
abuse? Select all that apply.
A) Confusion
B) Missing teeth
C) Apprehension when other children cry
D) Abrasions to the mouth, lips, and genitalia
E) Dehydration
B,C,D
3 multiple choice options
The nurse is providing care for a 2-year-old client. When assessing
the client's risk for abuse, which factors increase this client's
risk? Select all that apply.
A) The child has bruises on the knees and shins.
B) The child's parents are married.
C) The child is less than 3 years old.
D) The child is deaf.
E) The child's parents are unemployed and receive medical assistance.
C, D, E
3 multiple choice options
A client with a long history of experiencing domestic violence tells
the nurse, "There is no way out for me; this situation will never
change." What nursing diagnosis would be most appropriate?
A) Powerlessness
B) Risk for Other-Directed Violence
C) Ineffective Health Maintenance
D) Chronic Low Self-Esteem
A
3 multiple choice options
The nurse is providing care for a client who experienced several
fractures as a result of intimate partner violence. Which
intervention is the most appropriate to include when planning care
for the client?
A) Assist the client to devise a safety or escape plan.
B) Encourage the client to take charge of the situation.
C) Offer to contact outpatient services if the client promises not to
return home after discharge.
,D) Make it clear to the spouse that the couple needs to see a
therapist.
A
3 multiple choice options
A client who has experienced domestic violence in the past has
decided to stop participating in counseling. Which client statement
would indicate that therapy has been effective?
A) "Everyone knows what my problems are, and there is nothing I can
do about it."
B) "I am functioning fine now but I know that when problems come up
again, I will ask for help."
C) "My friends tell me that I have improved so this is a good time to
stop."
D) "It is so draining to deal with the same painful issues all of the
time."
B
3 multiple choice options
An older adult client is brought into the emergency room after
experiencing a fall. The nurse suspects elder abuse. Which assessment
findings support the nurse's suspicions? Select all that apply.
A) Poor hygiene
B) Dehydration
C) Intracranial trauma
D) Fecal impaction
E) Dislocations
A, B, D, E
3 multiple choice options
The nurse is completing a morning assessment on an older adult Asian
client. Assessment findings reveal circular red welts over the
client's upper back with several bruised areas. Which nursing action
is the most appropriate?
A) Contact adult protective services.
B) Call the healthcare provider immediately.
C) Assess the client's cultural traditions.
D) Contact the client's family.
C
3 multiple choice options
A pediatric nurse is caring for an 8-month-old client. While making
rounds, the nurse enters the room and finds the infant's father
violently shaking the infant. The father attempts to make it appear
as though the infant was choking. Upon further assessment, the nurse
notes bruised areas on the infant's arms and legs. What is a priority
action for the nurse to take?
A) Discuss what the nurse witnessed with the infant's mother.
, B) Discuss what the nurse witnessed with the other nurses.
C) Report what the nurse witnessed and assessed to the authorities.
D) Call security to remove the father from the room.
C
3 multiple choice options
Which of the following is a common element of abuse experienced by
the victim?
A) Accidental injury
B) Feelings of control
C) Humiliation
D) Manipulation
C
3 multiple choice options
Which theory states that individuals learn violent tendencies through
association with others and a reinforcement of abusive behaviors?
A) Social learning theory
B) Psychopathology theory
C) Neurobiology theory
D) Environmental theory
A
3 multiple choice options
Which diagnostic test might the healthcare team use to determine the
full extent of an abuse victim's injuries if the victim complains of
abdominal pain?
A) Ultrasound
B) X-ray
C) MRI
D) Blood test
A
3 multiple choice options
An older adult man is transported to the emergency department after a
motor vehicle crash. Which risk factors for the older adult could
have contributed to the crash? Select all that apply.
A) Unsafe driving practices
B) Preexisting health conditions
C) Speeding
D) Texting
E) Reduced sensory perception
B, E
3 multiple choice options
) The nurse is planning care for a client with multiple lower
extremity fractures sustained from a motor vehicle crash. Which is an
appropriate client goal for the nurse to include in the plan of care?
A) The client will have adequate urine output.
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