A child is admitted to the hospital unit with physical injuries. The nurse is taking the child's history. The statement by the parent that would be most suspicious for abuse is:
1. "I did not realize that my baby was able to roll over yet, and I was just gone a minute to check on dinner when the baby rolled off of the couch and onto our tile floor."
2. "The baby's 18-month-old brother was trying to pull the baby out of the crib and dropped the baby on the floor."
3. "I placed the baby in the infant swing. His 6-year-old brother was running through the house and tripped over the swing, causing it to fall."
4. "I was walking up the steps and slipped on the ice, falling while carrying my baby."
2
Rationale:
1. This statement is plausible from a developmental prospective.
2. Developmentally, it would be very difficult for an 18-month-old child to pull an infant out of a crib.
3. This statement is plausible from a developmental prospective.
4. This statement is plausible from a developmental prospective.
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A client, aged 15 years, has been referred to the adolescent mental health clinic by the juvenile court
after being arrested for prostitution. She has run away from home several times and has lived in homeless shelters. Her parents told the court they could not manage her, that she was physically abusive to her mother and defiant and hostile to her father. The client tells the nurse she hates her parents because they focus attention on her older brother "who is simply perfect in their eyes.". A nursing diagnosis that can be identified for the client is a. ineffective coping related to seeking parental attention, as evidenced by acting out. b. chronic low self-esteem related to knowing her brother is the parental favorite. c. hopelessness related to feeling unloved by parents. d. disturbed personal identity related to living on the streets.
A mother tells the nurse that her child is a picky eater. The nurse responds to the mother, telling her that she should be most concerned if the toddler
a. dislikes food that she once craved. b. puts some of the mother's breath mints in her mouth. c. eats only crackers and milk for 3 days. d. refuses to eat a food the older brother dislikes.
High Risk Pool plans are:
a. a way to save money and get a tax deduction. b. an incentive to shop for cost-effective health care services. c. a branch of the U.S. government that deals with health and health services. d. plans for patients previously refused insurance due to preexisting health care conditions.
The nurse can teach the client with anorexia nervosa to take which of the following substances as an alternative therapy to stimulate their appetite?
A) Ginseng B) Calcium C) Vitamin A D) Valerian root