Difficulty: Medium
Average Score: 92%
Simulated
Passage / Scenario
The mother of a school-aged boy tells the practical nurse (PN) that he fell out of a tree and hurt his arm and shoulder.Which assessment should the practical nurse (PN) note as the most significant indicator of possible child abuse?
Correct answer
D
Rationale
The correct answer is D. In cases of possible child abuse, inconsistencies between the caregiver's description of the injury and the child's version are a significant indicator. This is because it suggests potential fabrication or concealment of the truth, raising suspicion of abuse. Choice A is incorrect as avoiding eye contact does not directly indicate abuse. Choice B, the mother's detailed description, is not necessarily linked to abuse. Choice C, healed abrasions, is concerning but not as indicative as conflicting injury accounts.