Signs and Symptoms of Child Abuse and Neglect
Signs and Symptoms of Child Abuse and Neglect ( 8 Questions)
A nurse is caring for a 10-year-old client who was sexually abused by a relative. The client has genital pain, vaginal bleeding, and a positive test for chlamydia. Which of the following interventions should the nurse implement? (Select all that apply.)
Choice A Reason: This is a correct answer. The nurse should administer antibiotics as prescribed to treat chlamydia, which is a sexually transmitted infection that can cause serious complications if left untreated.
Choice B Reason: This is a correct answer. The nurse should provide pain relief as needed to help the client cope with genital pain, which may be caused by trauma, infection, or inflammation.
Choice C Reason: This is a correct answer. The nurse should collect forensic evidence as indicated, such as swabs, blood samples, or clothing, to assist with legal prosecution of the perpetrator. The nurse should follow proper protocols for handling and documenting evidence.
Choice D Reason: This is not a correct answer. Educating the client about safe sex practices is not appropriate at this time, as it may imply blame or judgment on the client. The client was not engaging in consensual sex, but was coerced or forced by a relative. The nurse should focus on providing emotional support and validating the client's feelings.
Choice E Reason: This is a correct answer. The nurse should refer the client to a mental health professional, such as a counselor or therapist, who can provide ongoing psychological care for the client. The client may experience post-traumatic stress disorder, depression, anxiety, or other mental health issues as a result of sexual abuse.
Choice A Reason: This is a correct answer. The nurse should administer antibiotics as prescribed to treat chlamydia, which is a sexually transmitted infection that can cause serious complications if left untreated.
Choice B Reason: This is a correct answer. The nurse should provide pain relief as needed to help the client cope with genital pain, which may be caused by trauma, infection, or inflammation.
Choice C Reason: This is a correct answer. The nurse should collect forensic evidence as indicated, such as swabs, blood samples, or clothing, to assist with legal prosecution of the perpetrator. The nurse should follow proper protocols for handling and documenting evidence.
Choice D Reason: This is not a correct answer. Educating the client about safe sex practices is not appropriate at this time, as it may imply blame or judgment on the client. The client was not engaging in consensual sex, but was coerced or forced by a relative. The nurse should focus on providing emotional support and validating the client's feelings.
Choice E Reason: This is a correct answer. The nurse should refer the client to a mental health professional, such as a counselor or therapist, who can provide ongoing psychological care for the client. The client may experience post-traumatic stress disorder, depression, anxiety, or other mental health issues as a result of sexual abuse.