Based on the research data, which of these children being followed by a pediatric nurse has the highest risk of experiencing fatal abuse?
A child who is 8 years old and has appendicitis.
A child who is 11 years old and has a fractured humerus.
A child who is 2 years old and has cerebral palsy.
A child who is 5 years old and has varicella.
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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Correct Answer is C
Explanation
Rationale:
A. While convincing a victim to escape might be a goal, it’s not always feasible or safe to suggest immediate action in such a dangerous situation.
B. Gathering information is important but should be done cautiously, ensuring the victim’s safety and comfort.
C. Being a safe and supportive presence is crucial, as it allows the victim to feel secure and open up at their own pace, which is essential for their safety and trust-building.
D. Providing resources is valuable, but ensuring that the victim feels safe and supported is a priority before sharing resources.
Correct Answer is C
Explanation
Rationale:
A. Developing an individualized care plan focusing solely on one issue may not address the family’s overall dynamics and interactions, which are critical in the Calgary Family Intervention Model.
B. Referring the family to specialized services without considering the family’s overall functioning misses the opportunity to address the interconnectedness of issues within the family unit.
C. Engaging the entire family in discussions to identify and address patterns of interaction and coping strategies aligns with the Calgary Family Intervention Model, which emphasizes understanding and improving family dynamics and relationships.
D. Providing education on specific medical conditions is important but does not address the broader family dynamics and support systems critical in the Calgary model.