Author Question: During a routine well-child visit, the mother of a preadolescent patient asks the nurse to explain ... (Read 78 times)

Tazate · **on:** Jun 27, 2018

During a routine well-child visit, the mother of a preadolescent patient asks the nurse to explain signs of sexual abuse.

The mother is concerned because an older male neighbor has been making comments and overtly admiring the child when playing outdoors. What information should the nurse provide to the mother? (Select all that apply.) A) Child reports abdominal pain.
B) Child has a change in school performance.
C) Child demonstrates anxiety or trouble sleeping.
D) Child does not want to be left alone with a certain adult.
E) Child spends a great deal of time with peer-group friends.

Question 2

The community nurse is visiting a victim of rape at home. Which observation indicates that crisis intervention goals have not been met?

A) Husband hopes to meet the rapist in a back alley 1 day.
B) Victim and husband sit with the nurse at the kitchen table and discuss feelings.
C) Victim states that intimate relationship with the husband has resumed without incident.
D) Husband holds the victim's hand and expresses endearing terms while the victim smiles.

smrtceo · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A, B, C, D
Feedback:
Signs of sexual maltreatment include vague reports of abdominal pain, a change in school performance, anxiety or trouble sleeping, and not wanting to be left alone with a certain adult. Spending time with peer-group friends is an expected preadolescent behavior and is not a sign of sexual maltreatment.

Answer to Question 2

A
Feedback:
Goals of crisis intervention for families of rape victims include helping the family be supportive of the victim, discussing the sexual relationship between partners, and the partner expressing feelings have not changed. A goal is also to discourage violent retribution toward the rapist. The husband desiring to meet the rapist in a back alley indicates that crisis intervention goals have not been met.