A school nurse is aware that a student has requested aspirin three times during the past week because his "back hurts." The nurse has noticed that he often wears long-sleeved sweaters and sweatshirts even in warm weather
The nurse suspects that the student may be the victim of physical abuse. The nurse is preparing to ask the child about his ongoing backache. Which of the following would the nurse anticipate being reported by the child if he was being abused?
A) His father is beating him on a regular basis
B) Be reluctant to report abuse because of shame or fear of retaliation
C) Give the same reason his sister would give were she asked to explain his injuries
D) Carefully explain that his mother disciplines him because she loves him
Ans: B
Most survivors do not report violence to health care providers without specifically being asked about it. Survivors may be reluctant to report abuse because of shame and fear of retaliation, especially if the victim depends on the abuser as a caregiver. In addition, children may fear they will not be believed.
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The nurse is assessing a client with a history of absence seizures. Which clinical manifestation does the nurse assess for?
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A review of family history reveals that a significant number of a patient's ancestors died very early from cardiac diseases. What is the best use of this information for the patient and the nurse?
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A nurse is giving going-home instructions about cardiac medications to the client who has experienced damage to the left temporal lobe of the brain. What adjustments should the nurse make for sensory deficits as a result of this injury?
A. Use a larger print size for written materials. B. Ensure that the client is wearing glasses. C. Point out the color of the medication. D. Sit on the client's right side.