A mother confides to the nurse that her live-in boyfriend knocked down her 2-year-old child because he was crying too much.
She begs the nurse not to tell anyone because her boyfriend has agreed to take anger management classes.
Which of the following actions should be taken by the nurse?
Arrange for counseling for the boyfriend at the earliest possible availability.
Encourage the mother to take the child and find alternate housing right away.
Report the incident to child protective services or other appropriate legal authority.
Abide by the mother's wishes because this information was provided in confidence.
The Correct Answer is C
Choice A rationale
Counseling for the boyfriend does not address the immediate safety risks to the child, who may remain vulnerable to further harm in the current environment.
Choice B rationale
While alternate housing might protect the child, it delays mandatory reporting, which is a legal obligation for healthcare providers in suspected abuse cases to ensure child welfare.
Choice C rationale
Reporting to child protective services is legally required and ensures the safety of the child while allowing investigation into the abuse for appropriate intervention and support.
Choice D rationale
Maintaining confidentiality is not applicable in cases of suspected child abuse, as healthcare providers are mandated reporters and must prioritize the child's safety over privacy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Regular toileting prevents incontinence-related complications and reflects appropriate caregiving without any indications of elder abuse or misuse of caregiver authority.
Choice B rationale
Administering Valium without a prescription constitutes medication misuse, which is a form of elder abuse that can endanger the client’s health and violates ethical caregiving practices.
Choice C rationale
Feeding baby food due to swallowing difficulties may indicate proper adaptation to the client's needs, assuming there are no signs of neglect or harm in the caregiving approach.
Choice D rationale
Transitioning an elderly person into a safer home environment demonstrates responsible caregiving and does not inherently suggest any evidence of elder abuse.
Correct Answer is A
Explanation
Choice A rationale
High energy levels are a hallmark symptom of cocaine intoxication. Cocaine stimulates the central nervous system, leading to heightened alertness, restlessness, and increased activity levels temporarily.
Choice B rationale
Drowsiness contradicts the stimulant effects of cocaine, which usually leads to wakefulness and reduced need for sleep during intoxication episodes.
Choice C rationale
Cocaine increases heart rate and blood pressure due to its stimulant properties, making a low heart rate inconsistent with the physiological effects of cocaine intoxication.
Choice D rationale
Cocaine use suppresses appetite through its effects on dopamine and serotonin systems. Increased appetite is more typical during withdrawal phases, not during intoxication.
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