A faith community nurse is preparing to meet with another family from the same congregation as an adolescent who has leukemia. Which of the following actions should the nurse plan to take?
Deny any requests to share the adolescent's diagnosis.
Assess the family's needs for support or guidance.
Refer the family to the adolescent's health care providers.
Review the adolescent's care plans with the family.
The Correct Answer is B
Choice A reason: This statement is not the best action, as it may violate the adolescent's and the family's right to privacy and confidentiality. The nurse should only share the adolescent's diagnosis with the consent of the adolescent and the family, and only with those who need to know.
Choice B reason: This statement is the best action, as it demonstrates the nurse's role as a counselor and advocate for the family. The nurse should assess the family's needs for support or guidance, as they may be experiencing stress, anxiety, or grief related to the adolescent's illness.
Choice C reason: This statement is not the best action, as it may not address the family's emotional or spiritual needs. The nurse should refer the family to the adolescent's health care providers only if they have questions or concerns about the medical aspects of the adolescent's care.
Choice D reason: This statement is not the best action, as it may not be appropriate or relevant for the family. The nurse should review the adolescent's care plans with the family only if they are involved in the adolescent's care or if the adolescent and the family request it.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This statement is not the priority action, as it does not address an immediate or urgent need of the client. Community support organizations can provide valuable resources and assistance to the client, but they are not essential for the client's safety or recovery.
Choice B reason: This statement is not the priority action, as it does not address an immediate or urgent need of the client. Spiritual support personnel can provide comfort and guidance to the client, but they are not essential for the client's safety or recovery.
Choice C reason: This statement is the priority action, as it addresses an immediate and urgent need of the client. The physical therapist needs to know the activity restrictions for the client following a hip arthroplasty, as they are responsible for developing and implementing a safe and effective rehabilitation plan for the client.
Choice D reason: This statement is not the priority action, as it does not address an immediate or urgent need of the client. A dietitian consult can provide information and education to the client about a vegan diet, but it is not essential for the client's safety or recovery.
Correct Answer is A
Explanation
Choice A reason: The child has recent onset of urinary incontinence is a possible sign of maltreatment, as it may indicate sexual abuse, emotional trauma, or neglect. The school nurse should report this finding to the child protective services and follow up with the child and the family¹².
Choice B reason: The child receives free lunches at school is not a sign of maltreatment, but rather a socioeconomic indicator. The school nurse should not assume that the child is maltreated based on this factor alone, but rather assess the child for other signs and symptoms of abuse or neglect³.
Choice C reason: The child has bruises on both knees is not a sign of maltreatment, but rather a common injury among children who are active and playful. The school nurse should not report this finding unless there are other suspicious circumstances, such as inconsistent explanations, unusual locations, or patterns of bruises⁴.
Choice D reason: The child reports having a toothache is not a sign of maltreatment, but rather a health issue that may require dental care. The school nurse should not report this finding unless there are other signs of neglect, such as poor oral hygiene, lack of access to health care, or failure to follow up on referrals⁵.
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