Author Question: The child is admitted to the hospital unit for injuries. The mother's boyfriend is suspected of ... (Read 144 times)

saraeharris · **on:** Jun 28, 2018

The child is admitted to the hospital unit for injuries. The mother's boyfriend is suspected of child abuse. The nurse's primary role, in addition to reporting to the proper authorities, is:

1. Gathering information about how the injuries occurred.
2. Collecting evidence against the suspected abuser.
3. Encouraging the child to talk about his experience.
4. Protecting the child from further injury.

Question 2

A nurse is preparing to perform a physical assessment on a toddler. Which of these actions should the nurse take?

1. Explain each part of the examination to the child before performing it.
2. Ask the mother to tell the child not to be afraid.
3. Perform the assessment from head to toe.
4. Leave intrusive procedures, such as ear and eye examinations, until the end.

sabina576 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

4
Rationale 1: This is not a priority role for the nurse.
Rationale 2: This would be a police function, not the nurse's responsibility.
Rationale 3: The nurse and the psychologist will be meeting with the child to help the child work through the experience, but this is not the priority action for the nurse.
Rationale 4: The nurse will monitor the child while in the presence of visitors. In addition, the nurse will talk with the social worker to assist in providing for the child's safety in the future. This is a priority.
Global Rationale:

Answer to Question 2

4
Rationale 1: Explaining each part before performing it will only make the child more fearful, as it will make the entire procedure last longer.
Rationale 2: This will do little to alleviate the child's fears.
Rationale 3: The nurse should complete the assessment in whichever order does not upset the child, leaving the head and genital areas for last.
Rationale 4: Intrusive procedures, such as examination of the ears, throat, eye, and genital areas, should be done last to decrease the anxiety of the child during the initial phases of the examination, which include the heart and lungs.
Global Rationale: