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 B
Explanation
Rationale:
A. Submitting a formal complaint to OSHA may be a necessary step if internal resolution fails, but it is not the immediate action to address the issue.
B. Reporting non-compliance to the infection control department is the most appropriate action. This department is responsible for ensuring adherence to safety protocols and can address the issue promptly.
C. While reminding colleagues and documenting the incident are important, reporting to the infection control department ensures a formal review and follow-up on the issue.
D. Conducting in-service training is useful for education but may not immediately address non-compliance or ensure adherence to OSHA regulations.
Correct Answer is D
Explanation
Rationale:
A. Manners are important but do not specifically maximize the information gleaned during the interview.
B. Acknowledging family strengths is important for support but does not directly maximize the amount of information obtained.
C. Ecomaps and genograms are useful tools for understanding family dynamics but may not be the primary means of maximizing information during an interview.
D. Therapeutic questions and conversation are essential for maximizing information during an interview, as they encourage open communication and exploration of family issues.