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Based on the research data, which of these children being followed by a pediatric nurse has the highest risk of experiencing fatal abuse?

A.

A child who is 8 years old and has appendicitis.

B.

A child who is 11 years old and has a fractured humerus.

C.

A child who is 2 years old and has cerebral palsy.

D.

A child who is 5 years old and has varicella.

Answer and Explanation

The Correct Answer is C

Rationale:

 

A. Appendicitis is a common condition and does not inherently increase the risk of fatal abuse.

 

B. A fractured humerus may be concerning but is not as high-risk for fatal abuse as younger children with significant disabilities.

 

C. A child with cerebral palsy, especially at a young age, is at higher risk of fatal abuse due to increased dependency and vulnerability.

 

D. Varicella (chickenpox) is a contagious disease but does not significantly increase the risk of fatal abuse.


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View Related questions

Correct Answer is D

Explanation

Rationale:

A. Assuming the client will follow the standard care plan without considering cultural beliefs shows a lack of cultural competence. Each client's cultural context should be considered.

B. Requesting conformity to the nurse's beliefs disregards the client’s cultural preferences and is not respectful of their personal values.

C. Avoiding discussion of cultural practices can hinder understanding and appropriate care; addressing cultural practices is important for providing respectful and effective care.

D. Inquiring about the client's cultural beliefs and incorporating them into the care plan ensures that care is respectful, relevant, and tailored to the client's needs and values.

Correct Answer is D

Explanation

Rationale:

A. While contacting the trafficking hotline may be necessary, it is essential first to ensure the client's immediate safety and confidentiality.

B. Knowing available resources is important, but ensuring a safe, private environment for the client is the first priority.

C. Performing a sexual examination without consent violates the client’s rights and may not be appropriate or necessary at the initial contact.

D. Ensuring the conversation occurs alone and privately is crucial for the client’s comfort and safety, allowing them to speak freely about their situation.

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