An adolescent with a history of multiple minor physical injuries is sent to the school nurse because of a large bruise on the lower left leg. The adolescent says, "I think I got the bruise when I fell."
The school nurse should interview the adolescent with a primary focus on: a. having the adolescent describe the circumstances of the fall that resulted in the bruise.
b. determining whether this adolescent will identify other risk factors for physical abuse.
c. gathering data to include in a report to the department of social services for adolescent abuse.
d. establishing the likelihood that the adolescent has a physical condition that accounts for the frequent injuries.
B
The correct option indicates the primary focus of the interview is the use of the risk and protective factors model to assess the child with a suspicious bruise. Because of the history of minor physical injuries the nurse is obligated to assess the child for the possibility of abuse. The remaining options, while addressing reasonable questions, fail to determine the child's safety.
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