Which observations made by an emergency department nurse raises the suspicion that a 3-year-old child has been maltreated?
a. The parents are extremely calm in the emergency department.
b. The injury is unusual for a child of that age.
c. The child does not remember how he got hurt.
d. The child was doing something unsafe when the injury occurred.
B
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A The nurse should observe the parents' reaction to the child but must keep in
mind that people behave very differently depending on culture, ethnicity,
experience, and psychological makeup.
B An injury that is rarely found in children or is inconsistent with the age and
condition of the child should raise suspicion of child maltreatment.
C The child may not remember what happened as a result of the injury itself, for
example, sustaining a concussion. Also, a 3-year-old child may not be a reliable
historian.
D The fact that the child was not supervised might be an area for health teaching.
The nurse needs to gather more information to determine whether the parents
have been negligent in the care of their child.
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