A nurse is working in the emergency room when a child is brought ...

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A nurse is working in the emergency room when a child is brought in with injuries and a history that suggests sexual abuse. The child is not cooperative.
 
  Which of the following reasons presents the best rationale for waiting until the child is cooperative, instead of restraining and forcing the child to submit to the examination? a. The hospital staff would likely be charged with abuse.
  b. One of the parents may object to restraint if both have not signed informed consent, especially if they are divorced.
  c. Forcing participation may damage the child's ability to give testimony in a criminal case.
  d. Forced examination may not provide accurate results.

Question 2

A 10-year-old boy has been seen frequently in the school clinic for somatic complaints, such as stomachache and fatigue. The mother reports that recently he has begun bed-wetting. The nurse suspects:
 
  a. The child does not like school
  b. The child has begun bullying other children
  c. The child may be the victim of bullying
  d. None of the above

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Answer to Question 1

C

Feedback
A Incorrect. Restraint and forced cooperation is improper treatment at all times.
B Incorrect. Hopefully all adults involved will object to restraint and coercion.
C Correct. Forcing a child to participate in a forensic examination may damage the child's ability to testify in a criminal case, especially if the child perceives the medical examination as abusive.
D Incorrect. Forced examination often provides inaccurate results.

Answer to Question 2

C
The symptoms are consistent with those typically seen in victims of bullying.

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