NRS 434 Describe warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse

Grand Canyon University NRS 434 Describe warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse-Step-By-Step Guide

This guide will demonstrate how to complete the Grand Canyon University NRS 434 Describe warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NRS 434 Describe warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse                            

Whether one passes or fails an academic assignment such as the Grand Canyon University NRS 434 Describe warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse  depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NRS 434 Describe warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse                          

The introduction for the Grand Canyon University NRS 434 Describe warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse  is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NRS 434 Describe warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse                          

After the introduction, move into the main part of the NRS 434 Describe warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse  assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NRS 434 Describe warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse                          

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NRS 434 Describe warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse                            

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NRS 434 Describe warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse

Re: Topic 2 DQ 1

Child abuse is described as the intentional or unintentional damage (sexually, physically, or emotionally) of any child. Deprivation, ill-treatment, and neglect come under the umbrella of child abuse. Unexplained bruises and injuries, changes in behavior or dietary patterns, aggressive nature, or remaining silent are the signs of abuse. Unfortunately, child abuse is still prevalent across the world, especially in the United States. In 2019, there were approx 650000 documented occurrences of child abuse, with neglect being the most frequent kind of maltreatment in the United States. Child abuse knows no gender discrimination and the rates are almost similar between boys and girls. There is a positive relationship between official child abuse and environmental poverty in all racial/ethnic groups (Kim & Drake, 2018).

Child abuse among toddlers is very common. They are prone to physical, emotional, and sexual abuse. The signs of physical abuse are children returning home with unexplained injuries, bruises, abrasions, cuts, bite marks, or other physical signs. Repeated injuries of any kind might be a red flag. If there are changes in their typical behavior, such as being very irritable, anxious, furious, or silent, child abuse can be suspected. The signs of sexual abuse are genital discomfort, bruising in the genital areas, itching, bleeding, frequent urinary tract infections, and trouble walking or sitting due to genital or anal discomfort. Emotional abuse can be identified when the child exhibits signs of behavioral issues or changes, such as avoiding a parent’s attention, becoming excessively angry or despondent. Abused children frequently exhibit extreme behavior.

The nurse by taking a proper history from the child and parents and observing the signs as mentioned above can rule out abuse.

Many cultural practices are prevalent in various countries and can be misidentified as abuse. Coining is practiced in South East Asian countries in which the kin that has been greased with oil is scraped with a ceramic spoon, a worn coin (Vitale & Prasad, 2017). Moxibustion is another traditional Chinese therapeutic technique that originated in Asian medicine and included burning rolled pieces of moxa plant (Killon, 2017).

In my state (Florida), various abuse hotlines, toll-free numbers function 24 hours a day with the availability of counselors. The person reporting can contact and submit the details of the abuse. The complainant can register the complaint on https://reportabuse.dcf.state.fl.us/ also.

Killion, C. M. (2017). Cultural healing practices that mimic child abuse.

Kim, H., & Drake, B. (2018). Child maltreatment risk as a function of poverty and race/ethnicity
in the USA. International journal of epidemiology, 47(3), 780-787.

Vitale, S. A., & Prashad, T. (2017). Cultural awareness: coining and cupping. Int Arch Nurs Health Care, 3(3), 080.

Sample Answer 2 for NRS 434 Describe warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse

Infant and toddler abuse are very prevalent type of abuse that we see in children. Child abuse can include physical, sexual, or psychological abuse, or a combination of any of the three. It is important to access signs and symptoms of abuse in children because they might have effects later. Abuse might occur from home through caregivers or close family members. Risks associated with abuse of any kind include poverty, mental illness, and alcohol or substance abuse (Ho, Bettencourt & Gross, 2017). Toddlers who ae abused physically will have unexplained bruises, abrasions, burns, cuts, broken bones, black eyes, bite marks and other injuries that cannot be well accounted for

Emotionally this child will be very withdrawn and scared of their caregiver. They will have behavioral problems like acting angry and depressed, they will sometimes act very aggressively and in a demanding manner. Behavioral signs that could be indicative of abuse may include fearfulness, inappropriate sexual behavior, abnormal or irrational fears, and social withdrawal. (Lee, Lindberg, Frasier, & Hymel,2021). Doing a thorough assessment will help in identifying any abuse suspicions. The victims and caregivers in this case will be very reluctant to provide any information therefore Nurses should be able to make a judgement of their assessments and follow the correct reporting mechanism of suspected child abuse according to their state laws.

Cultures vary differently and what is acceptable in one culture might not be acceptable in another one. Some cultures spank their kids as a form of discipline and it is acceptable to them, other cultures will view that as abuse. Some cultures practice coining as a form of treating many illnesses but this could be mistaken for abuse. (Tan, & Mallika 2011). It is important to be culturally sensitive before making conclusions on about child abuse. It is our ethical duty as nurses to report child abuse, Ohio has a hotline that is confidential for reporting suspected child abuse.

References,

Ho, G. W. K., Bettencourt, A., & Gross, D. A. (2017). Reporting and identifying child physical abuse: How well are we doing? Research in Nursing and Health, 40(6), 519-527. doi:10.1002/nur.21818

Lee, G. S., Lindberg, D. M., Frasier, L. D., & Hymel, K. P. (2021). A changing history: When is it a red flag for child abuse? Child Abuse & Neglect, 117. https://doi-org.lopes.idm.oclc.org/10.1016/j.chiabu.2021.105077

TAN AK, & MALLIKA PS. (2011). Coining: An Ancient Treatment Widely Practiced among Asians. Malaysian Family Physician, 6(2&3), 97–98.

Topic 2 DQ 2 NRS 434

Children are a special population with unique health care needs. Although the physical assessment of a child is somewhat similar to that of an adult, some differences exist since children differ from adults physiologically. The similarities in the physical exam include obtaining vital signs at the beginning of the exam (Borji et al., 2018). However, the normal ranges in respiration and heart rate differ for an adult and a very young child. Besides, blood pressure monitoring is not generally done in children below five years, unlike in adults where it is vital (Srinath et al., 2019). The blood pressure range and cuff also differ. Nutritional measurements such as height and weight are conducted in both an adult and a child. In adults, the BMI is calculated to determine the nutritional status, while in children, the mid-upper arm is used (Borji et al., 2018). Furthermore, the head-to-toe approach is applied when assessing both a child and an adult. The physical exam techniques of inspection, palpation, auscultation, and percussion are used in both children and adults. 

The physical exam in a child comprises of some aspects which are not conducted in an adult such as assessment of the head and chest circumference specifically in children below two years (Srinath et al., 2019). Besides, assessment of growth and developmental milestones is conducted in children and adolescents to evaluate for any red flags, unlike in adults. The examiner assesses the child’s motor, cognitive, social, and language development while in adults, these aspects are only evaluated for impairment. 

The nurse should offer instructions to the child using a non-threatening language and polite language to promote cooperation during the assessment. An understandable vocabulary and language should be used, and sentences should be short (Huth et al., 2018). The nurse should ensure that the environment is calm to relieve anxiety. Besides, the nurse should be honest with the child on the procedures that might be discomforting or cause pain (Huth et al., 2018). Furthermore, the child should be involved when explaining to the caregiver the findings from the physical exam. When offering explanations, a simple language should be used, and the nurse should inform the child of any abnormalities (Huth et al., 2018). The nurse should further explain to the child of any additional diagnostic tests to be conducted, the impression, and the treatment plan. 

To encourage engagement, during the assessment, the nurse should provide anticipatory guidance to the chills to promote and create trust (Huth et al., 2018). Besides, it provides a positive experience to the child and cooperation throughout the exam. The nurse should allow the child to take up some tasks such as undressing and getting to the examination couch to promote confidence and autonomy as well as create a positive experience. 

References 

Borji, M., Tarjoman, A., Nejad, H. T., Meymizade, M., Nariman, S., & Safari, S. (2018). Relationship between knowledge-skill and importance of physical examination for children admitted to infectious wards: Examining nurses’ points of view. Journal of Comprehensive Pediatrics, 9(1). https://doi.org/10.5812/compreped.63292 

Huth, K., Long-Gagne, S., Mader, J., & Sbrocchi, A. M. (2018). Approach to clinical assessment of children with medical complexity. MedEdPORTAL : the journal of teaching and learning resources, 14, 10765. https://doi.org/10.15766/mep_2374-8265.10765 

Srinath, S., Jacob, P., Sharma, E., & Gautam, A. (2019). Clinical practice guidelines for assessment of children and adolescents. Indian journal of psychiatry, 61(Suppl 2), 158–175. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_580_18