Which should be the most appropriate nursing intervention for the ...

[Yolanda]

Which should be the most appropriate nursing intervention for the infant who is not gaining weight?
 
  a. Instruct the primary caregiver on proper feeding techniques.
  b. Observe and document the parentinfant interaction.
  c. Assign different nurses to care for the infant.
  d. Feed the infant on a predetermined schedule.

Question 2

The school nurse observes an unkempt child dressed in inappropriate clothing who repeatedly asks for food. The nurse is concerned about which problem?
 
  a. Physical abuse
  b. Physical neglect
  c. Emotional abuse
  d. Sexual abuse

[yasmina]

Answer to Question 1

B
Observation and documentation of the parentinfant interaction may offer insight into the cause of malnutrition. Instruction alone is not the best teaching strategy. Role modeling and supervised practice along with parental instruction will facilitate the parent's learning to feed the infant. A consistent caregiver will facilitate trust in the infant. The infant's caloric intake is increased by feeding the infant on demand rather than on a schedule.

Answer to Question 2

B
These physical and behavioral indicators suggest that parental attention is not being given to the child's physical needs. The child is being neglected. There are no physical indicators of actual abuse in this description. Behavioral indicators of physical abuse reflect an impaired relationship with parents and other adults. Emotional abuse is manifested by developmental problems or maladaptive behaviors. Physical indicators of sexual abuse are focused on the genitourinary system. A variety of behavioral indicators range from bizarre sexual behavior to eating and sleeping disturbances.