A school nurse brought a young boy back into a private office and ...

[meagbuch]

A school nurse brought a young boy back into a private office and asked him to remove his shirt. Fresh welts across his back were seen. Which of the following would most likely cause the nurse to be concerned about the parents? (Select all that apply.)
 
  a. The child had a tendency to act out frequently and really did ask for it.
  b. The parents did not like their own child and had trouble hiding that fact.
  c. The parents were dealing with a lot of stress and lacked support.
  d. The parents were themselves abused as children.
  e. The parents may be substance abusers.
  f.
  The parents probably did not have health insurance for the boy.

Question 2

A nurse was considering self-employment by starting a home health managed care agency. Which of the following risks is the nurse taking, particularly in the beginning?
 
  a. Because the nurse is a newcomer, most patient referrals may go to other, more long-term agencies.
  b. Managed care agencies assume the risk of providing all needed care within the amount budgeted.
  c. Most clients would not know the nurse and therefore would be unaware of the nurse's agency.
  d. Other nurses may envy the successful nurse and withdraw their friendship and support.

[CAPTAINAMERICA]

Answer to Question 1

ANS: C, D, E
Most often, the perpetrators of maltreatment are parents and victims themselves from a cycle of abuse. The two dominant characteristics of abusive parents include a history of substance abuse and abuse from their own parents. They may be stressed by poverty, illness, or disability, and they may lack social support systems or coping skills. In cases of abuse, it is unlikely that the child asked for it. Because of a possible past history of abuse or substance abuse, parents may be more likely to abuse their own children, it would not be because they do not like their own child. Not having health insurance for the boy would not play a role in whether he was being abused.

Answer to Question 2

ANS: B
Managed care agencies contract with payers, such as insurance companies, to provide specified services to the enrolled clients at a predetermined price. Managed care agencies receive payment before offering services and are responsible for taking the financial risk of providing care to patients within the budgeted allotment. The nurse will not need to worry about patient referrals or personally knowing the clients before referral as this home care agency is part of a managed care group that has enrolled clients that need services. Envy from other nurses is not a risk faced by the nurse starting this business endeavor.

[meagbuch]

TYSM

[sailorcrescent]

Excellent