While the nurse is conducting the history of a school-age child, the parents admit to owning firearms. Which safety measures are appropriate to include in the teaching plan for this family?
1. Using a gun lock on all firearms in the house
2. Taking the child to a shooting range for lessons on how to use a gun properly
3. Storing the guns and ammunition in separate places
4. Keeping all the guns in a locked cabinet
5. Explaining the dangers of a gun to the child and telling her explicitly to never touch it
Correct Answer: 1,3,4
Rationale: Over 4,000 youth from 10 to 19 years old die from firearm homicides annually, and approximately 1500 additional youth die from firearm suicide. Firearm homicide is the second leading cause of injury death for youth, and firearm suicide is the fifth leading cause of injury death for youth (CDC, 2011c). The safety measures of using a gun lock, keeping the gun and ammunition separate, and putting the guns in a locked cabinet will at least make the guns less accessible. Telling a child that a gun is "dangerous" and not to be touched will probably make it more fascinating. Even with knowledge of the proper use of a firearm, a 10-year-old child's judgment may not be mature enough to prevent misuse of it.
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