Health Care Utilization by Age Group

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A child, aged 11 years, stays home from school to care for his siblings while his mother works, because the family cannot afford a babysitter. The home is cluttered and dirty when the community mental health nurse visits to investigate the child's school absences. The nurse's legal responsibility if child abuse or neglect is suspected is to:

  • A. consult with the child's teacher, principal, and school psychologist.
  • B. document the observations and impressions in the family health record.
  • C. report her suspicions of abuse or neglect according to state regulations.
  • D. wait until she has proof of abuse or neglect, then report it to authorities.
Correct Answer: C

Rationale: Correct Answer: C

Rationale:
1. **Legal Obligation**: The nurse has a legal duty to report suspicions of child abuse or neglect.
2. **Protecting the Child**: Reporting ensures the child's safety and well-being.
3. **State Regulations**: State laws mandate reporting suspected abuse or neglect.
4. **Immediate Action**: Waiting for proof delays intervention and puts the child at risk.

Summary:
- Choice A: Consulting with school staff doesn't fulfill the legal obligation to report.
- Choice B: Documenting is important but not sufficient; reporting is crucial.
- Choice D: Waiting for proof is dangerous; immediate reporting is necessary to protect the child.

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In the powerpoint activity for this lesson, you witnessed photographs of typical weekly food consumptions for families in various countries. Which country depicted a photograph of a family who consumed the LEAST amount of fruits and vegetables and the MOST amount of processed food?

  • A. Germany
  • B. Poland
  • C. Chad
  • D. United States
Correct Answer: D

Rationale: The United States is often depicted with diets high in processed foods and low in fruits and vegetables, reflecting modern consumption patterns.

The following condition is an indication for electroconvulsive therapy (ECT)

  • A. Serene depression
  • B. Schizophrenia
  • C. Autistic disorders
  • D. Tourettes syndrome
Correct Answer: A

Rationale: Severe (likely intended as 'serene') depression, especially when treatment-resistant, is a primary indication for ECT due to its rapid efficacy.

When an individual with multiple cognitive disabilities has extraordinary proficiency in one isolated skill, this is known as?

  • A. Rainman syndrome
  • B. Asperger ability
  • C. Intellectual isolation
  • D. Savant syndrome
Correct Answer: D

Rationale: Savant Syndrome: Extraordinary proficiency in one isolated skill in individuals with multiple cognitive disabilities, often linked to autism.

A 10-year-old boy presents with a history of central abdominal pain of a few hours' duration. On examination he has minimal tenderness in the right iliac fossa and no abnormal findings on rectal examination. Which of the following alternatives should be carried out?

  • A. Arrange a barium meal follow through.
  • B. Arrange to see the patient later on in the day for review.
  • C. Send the patient away with instructions to return if the pain becomes worse.
  • D. Tell the patient to come back in a week.
Correct Answer: B

Rationale: Early appendicitis can present subtly. Minimal right iliac fossa tenderness warrants observation, so reviewing later (B) is appropriate. Imaging (A), dismissal (C, D), or immediate surgery (E) without further assessment are not justified yet.

Assist her in developing an emergency plan, since the pattern of violence is likely to continue.

  • A. Developing an emergency plan is crucial in situations of potential violence.
  • B. The pattern of violence may decrease over time.
  • C. The pattern of violence is unpredictable.
  • D. None of the above.
Correct Answer: A

Rationale: Rationale for Choice A:
1. Developing an emergency plan is crucial as it ensures safety during potential violent situations.
2. It empowers the individual to have a plan of action in place to protect themselves.
3. By having an emergency plan, the individual can respond quickly and effectively to ensure their safety.

Summary of Other Choices:
B. The pattern of violence decreasing is uncertain and doesn't address the immediate need for safety.
C. Labeling the pattern of violence as unpredictable doesn't provide a proactive solution for the individual's safety.
D. "None of the above" is incorrect as developing an emergency plan is a proactive and necessary step in situations of potential violence.

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