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    RN Ati Capstone mental health assessment proctored exam

    A nurse is conducting a child maltreatment screening of a family who has a toddler. Which of the following findings should the nurse identify as an indicator of possible child neglect?

    Explanation & Rationale

    A. The child has a history of jaw fractures: Repeated or unexplained fractures are more indicative of physical abuse rather than neglect. Physical abuse typically involves deliberate injury inflicted by a caregiver or parent. B. The child seems frightened of their parent: Fear of the parent suggests possible emotional or physical abuse. While neglect can cause emotional withdrawal, overt fear is more often associated with abusive rather than neglectful behavior. C. The child has had no immunizations since birth: Failure to provide basic healthcare, such as routine immunizations, reflects medical neglect. Neglect involves the caregiver’s omission in meeting the child’s fundamental physical, medical, and developmental needs. D. The child rocks back and forth continually: Repetitive self-soothing behaviors like rocking can result from emotional deprivation or trauma but are not, by themselves, definitive evidence of neglect. They may also appear in developmental or sensory disorders such as autism.

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