The clinic nurse explains to a student that an appropriate ...

[cabate]

The clinic nurse explains to a student that an appropriate nursing action is screening all children for child abuse. What other information does the nurse give the student about child abuse? (Select all that apply.)
 
  A.
  It is frequently carried out by a stranger.
  B.
  The most common form is neglect.
  C.
  It is most often perpetrated by a parent.
  D.
  Only 1 out of 1,000 girls is sexually abused.
  E.
  It is part of an ongoing cycle of violence.

Question 2

A nurse is working with a patient determined to have low health literacy and has taught the patient vital self-care measures for a chronic illness. How will the nurse best determine if the patient has understood the information? (Select all that apply.)
 
  A.
  Ask for a return demonstration of the skills taught.
  B.
  Assess if the patient will take brochures written for this illness.
  C.
  Encourage the patient to explain how the information fits into his or her daily life.
  D.
  Give the patient a written quiz at the end of the teaching session.
  E.
  Have the patient repeat the information in her or his own words.

[mcabuhat]

Answer to Question 1

ANS: B, C, E
The National Child Abuse and Neglect Data System reports that three children die of child abuse in the home each day. Children are most commonly abused by someone they know, and in 79 of cases, the perpetrator is a parent. Child abuse can set up a perpetuating cycle of suffering and more violence later in life, potentially reaching to future generations. Neglect is the most common form of child abuse. One out of every four girls will be sexually abused by the time she reaches 18.

Answer to Question 2

ANS: A, C, E
Communicating with people who have low health literacy can be challenging. Some strategies the nurse can employ are: specific training, asking open-ended questions, asking patients to restate information or provide a return demonstration of skills, using plain and culturally sensitive language, and developing health information tailored to specific populations. To assess for cultural congruency, the nurse can ask the patient to explain how the self-care measures fit into the patient's life. Simply giving the patient brochures does not guarantee that the patient understands or will use them, or even whether the patient can read. Giving a quiz might be seen as intimidating.