Child Abuse and Neglect > Pediatrics
Exam Review
Nursing Interventions to Protect the Child from Further Harm
Total Questions : 8
Showing 8 questions, Sign in for moreA nurse is planning a primary prevention program for child abuse and neglect in a low-income community. Which of the following strategies should the nurse include in the program?
Explanation
Choice A Reason: This is an example of secondary prevention, not primary prevention.
Choice B Reason: This is an example of tertiary prevention, not primary prevention.
Choice C Reason: This is the correct answer. This is an example of primary prevention, which aims to prevent child abuse and neglect from occurring in the first place.
Choice D Reason: This is a legal obligation for nurses and other mandated reporters, but it is not a prevention strategy.The correct answer is C. Educating parents and caregivers about child development and positive parenting skills is an example of primary prevention, which aims to prevent child abuse and neglect from occurring in the first place by addressing the risk factors and enhancing the protective factors at individual, family, community, and societal levels. Choice A is an example of secondary prevention, which aims to identify and intervene with children and families who are at risk of or have experienced maltreatment by providing early detection, screening, assessment, referral, treatment, and follow-up services. Choice B is an example of tertiary prevention, which aims to reduce the negative consequences of maltreatment and prevent its recurrence by providing specialized treatment and support services for children and families who have been affected by abuse or neglect. Choice D is a legal obligation for nurses and other mandated reporters, but it is not a prevention strategy.
Choice A Reason: This is an example of secondary prevention, not primary prevention.
Choice B Reason: This is an example of tertiary prevention, not primary prevention.
Choice C Reason: This is the correct answer. This is an example of primary prevention, which aims to prevent child abuse and neglect from occurring in the first place.
Choice D Reason: This is a legal obligation for nurses and other mandated reporters, but it is not a prevention strategy.
A nurse is conducting a secondary prevention program for child abuse and neglect in a school setting. Which of the following actions should the nurse take? (Select all that apply.)
Explanation
The correct answers are A, B, C, and E. These are examples of secondary prevention, which aims to identify and intervene with children and families who are at risk of or have experienced maltreatment by providing early detection, screening, assessment, referral, treatment, and follow-up services. Choice D is an example of primary prevention, which aims to prevent child abuse and neglect from occurring in the first place by addressing the risk factors and enhancing the protective factors at individual, family, community, and societal levels.
Choice A Reason: This is a correct answer. This is an example of secondary prevention, which aims to identify children who are at risk of or have experienced maltreatment by using validated tools.
Choice B Reason: This is a correct answer. This is an example of secondary prevention, which aims to intervene with children and families who need further evaluation or intervention by providing referral services.
Choice C Reason: This is a correct answer. This is an example of secondary prevention, which aims to identify children who are at risk of or have experienced maltreatment by providing education and training for teachers and staff on how to recognize and respond to child abuse and neglect.
Choice D Reason: This is an incorrect answer. This is an example of primary prevention, not secondary prevention.
Choice E Reason: This is a correct answer. This is an example of secondary prevention, which aims to intervene with children who have been affected by abuse or neglect by providing support groups and peer mentoring.
A nurse is working with a family who has been referred to a tertiary prevention program for child abuse and neglect. The nurse notices that the mother often blames the child for the father's abusive behavior. Which of the following statements should the nurse make to address this issue?
Explanation
The correct answer is B. Asking the mother how she thinks her child feels when she blames them for their father's actions is an empathic response that can help her reflect on the impact of her behavior on her child's emotional well-being. Choice A is a confrontational response that may make the mother defensive or angry. Choice C is a judgmental response that may make the mother feel guilty or ashamed. Choice D is a closed-ended question that may not elicit much information or insight from the mother.
Choice A Reason: This is an incorrect answer. This is a confrontational response that may make the mother defensive or angry.
Choice B Reason: This is the correct answer. This is an empathic response that can help the mother reflect on the impact of her behavior on her child's emotional well-being.
Choice C Reason: This is an incorrect answer. This is a judgmental response that may make the mother feel guilty or ashamed.
Choice D Reason: This is an incorrect answer. This is a closed-ended question that may not elicit much information or insight from the mother.
A nurse is providing education and training for a group of community health workers on how to recognize and respond to child abuse and neglect. The nurse asks the participants to share some examples of child maltreatment that they have encountered or witnessed in their work. One of the participants says, "I once saw a child who had bruises and cuts all over his body. His parents said he was clumsy and fell a lot. I didn't think much of it at the time, but now I wonder if he was being abused." Which of the following statements should the nurse make to respond to this participant?
Explanation
The correct answer is D. Assessing the child for other signs and symptoms of abuse, such as behavioral changes, fear of adults, or poor school performance, is a Reasonable and appropriate action that the community health worker could have taken to determine if the child was being abused. Choice A is a harsh and blaming response that may discourage the participant from sharing their experiences or learning from their mistakes. Choice B is a passive and complacent response that may reinforce the participant's inaction or denial of abuse. Choice C is a risky and potentially harmful response that may put the child or the community health worker in danger if the parents are abusive and become angry or violent.
Choice A Reason: This is an incorrect answer. This is a harsh and blaming response that may discourage the participant from sharing their experiences or learning from their mistakes.
Choice B Reason: This is an incorrect answer. This is a passive and complacent response that may reinforce the participant's inaction or denial of abuse.
Choice C Reason: This is an incorrect answer. This is a risky and potentially harmful response that may put the child or the community health worker in danger if the parents are abusive and become angry or violent.
Choice D Reason: This is the correct answer. This is a Reasonable and appropriate action that the community health worker could have taken to determine if the child was being abused.
A nurse is evaluating the effectiveness of a tertiary prevention program for child abuse and neglect. Which of the following outcomes should the nurse use to measure the success of the program?
Explanation
The correct answer is D. The number of children and families who did not experience any recurrence of maltreatment after completing the program is an outcome that directly reflects the goal of tertiary prevention, which is to reduce the negative consequences of maltreatment and prevent its recurrence by providing specialized treatment and support services for children and families who have been affected by abuse or neglect. Choice A is an output indicator that measures how many people were reached by the program, but not how effective it was. Choice B is a process indicator that measures how satisfied people were with the program, but not how beneficial it was. Choice C is an outcome indicator that measures how much people improved in their well-being after completing the program, but not how much they reduced their risk of maltreatment.
Choice A Reason: This is an incorrect answer. This is an output indicator that measures how many people were reached by the program, but not how effective it was.
Choice B Reason: This is an incorrect answer. This is a process indicator that measures how satisfied people were with the program, but not how beneficial it was.
Choice C Reason: This is an incorrect answer. This is an outcome indicator that measures how much people improved in their well-being after completing the program, but not how much they reduced their risk of maltreatment.
Choice D Reason: This is the correct answer. This is an outcome indicator that directly reflects the goal of tertiary prevention, which is to reduce the negative consequences of maltreatment and prevent its recurrence by providing specialized treatment and support services for children and families who have been affected by abuse or neglect.
A nurse is caring for a child who has been admitted to the hospital with multiple fractures and bruises. The nurse suspects that the child is a victim of physical abuse. Which of the following actions should the nurse take first?
Explanation
The correct answer is D. Ensuring the safety and comfort of the child in a private room is the priority action that the nurse should take first when caring for a child who is suspected to be a victim of physical abuse. This action can help protect the child from further harm, reduce their anxiety and fear, and establish trust and rapport with the nurse. Choice A is an important action that the nurse should take to document the evidence of abuse, but it is not the first action. Choice B is a legal and ethical action that the nurse should take to report the suspected abuse and collaborate with other professionals, but it is not the first action. Choice C is an assessment action that the nurse should take to gather more information about the situation, but it is not the first action.
Choice A Reason: This is an incorrect answer. This is an important action that the nurse should take to document the evidence of abuse, but it is not the first action.
Choice B Reason: This is an incorrect answer. This is a legal and ethical action that the nurse should take to report the suspected abuse and collaborate with other professionals, but it is not the first action.
Choice C Reason: This is an incorrect answer. This is an assessment action that the nurse should take to gather more information about the situation, but it is not the first action.
Choice D Reason: This is the correct answer. This is the priority action that the nurse should take first when caring for a child who is suspected to be a victim of physical abuse.
A nurse is conducting a health education session for a group of parents on how to prevent child abuse and neglect. The nurse explains that one of the risk factors for maltreatment is parental stress. Which of the following statements by one of the parents indicates a need for further teaching?
Explanation
The correct answer is C. Using alcohol or drugs to cope with stress and relax is an unhealthy and harmful behavior that can increase the risk of child abuse and neglect by impairing parental judgment, self-control, and coping skills. The nurse should provide further teaching to this parent and explain the negative effects of substance abuse on parenting and child development. Choice A is a correct statement that indicates an understanding of seeking professional help if needed. Choice B is a correct statement that indicates an understanding of joining a support group for parents where they can share their feelings and experiences. Choice D is a correct statement that indicates an understanding of practicing relaxation techniques such as deep breathing or meditation.
Choice A Reason: This is a correct statement that indicates an understanding of seeking professional help if needed.
Choice B Reason: This is a correct statement that indicates an understanding of joining a support group for parents where they can share their feelings and experiences.
Choice C Reason: This is an incorrect statement that indicates a need for further teaching. Using alcohol or drugs to cope with stress and relax is an unhealthy and harmful behavior that can increase the risk of child abuse and neglect.
Choice D Reason: This is a correct statement that indicates an understanding of practicing relaxation techniques such as deep breathing or meditation.
A nurse is providing follow-up care for a family who has completed a tertiary prevention program for child abuse and neglect. The nurse evaluates the progress of the family by using which of the following indicators? (Select all that apply.)
Explanation
The correct answers are A, B, D, and E. These are indicators that show that the family has made progress in their physical, mental, and social well-being after completing the tertiary prevention program for child abuse and neglect. Choice C is an incorrect answer that shows that the family has not made progress in their social well-being and may still be at risk of maltreatment. The nurse should provide further support and guidance to this family and encourage them to seek help from other sources of social support, such as friends, relatives, neighbors, or community organizations.
Choice A Reason: This is a correct answer that shows that the family has made progress in their communication and conflict resolution skills, which are important for maintaining healthy and respectful relationships.
Choice B Reason: This is a correct answer that shows that the family has made progress in their expectations and goals, which are important for enhancing their motivation and self-regulation.
Choice C Reason: This is an incorrect answer that shows that the family has not made progress in their social well-being and may still be at risk of maltreatment. The nurse should provide further support and guidance to this family and encourage them to seek help from other sources of social support.
Choice D Reason: This is a correct answer that shows that the family has made progress in their self-esteem and self-efficacy, which are important for improving their confidence and competence as parents and caregivers.
Choice E Reason: This is a correct answer that shows that the family has made progress in their parenting practices, which are important for ensuring the safety and well-being of their children.
Sign Up or Login to view all the 8 Questions on this Exam
Join over 100,000+ nursing students using Nursingprepexams’s science-backend flashcards, practice tests and expert solutions to improve their grades and reach their goals.
Sign Up Now
