The school nurse cares for students with physical challenges and ...

[craiczarry]

The school nurse cares for students with physical challenges and suspects that the needs for physical safety are not being adequately met for several students in the home environment.
 
  Which assessment findings support the nurse's concern?
  Select all that apply.
  A) Wearing the same clothes to school several days of the week
  B) Limited arm range of motion
  C) Scrapes on knees caused be falling from a bicycle
  D) Hand burn from touching a hot stove
  E) Lunch contains leftovers from previous evening dinner

Question 2

A nurse is interviewing a client at a clinic near a shelter for the homeless. Understanding the lack of resources this client has available, which should the nurse assess during the intake phase of the health history?
 
  Select all that apply.
  A) Social support available
  B) Access to medication
  C) Access to nutritious meals
  D) Number of times married
  E) Any personal resources

[spencer.martell]

Answer to Question 1

Answer: B, C, D

Wearing the same clothes to school several days of the week and eating leftovers for lunch could be an indication of the family's financial status. Evidence that physical safety needs are not being adequately met would include the formation of contractures, which limits arm range of motion; scrapes on knees after falling from a bicycle, indicating the lack of safety or protective equipment for the head and extremities; and hand burns obtained from touching a hot stove, which could mean the child was not attended in the kitchen at home.

Answer to Question 2

Answer: A, B, C, E

Homeless clients present unique and complex challenges. The nurse should inquire about any social support, personal resources, and access to prescribed medications and nutritious meals in order to plan care appropriately. The number of times the client has been married is irrelevant.