A nurse in a provider's office is assessing a school-age child who has a spiral fracture.
The parent of the child provides different accounts of the cause of the injury.
Which of the following actions should the nurse take first?

Report suspected abuse to Child Protective Services.

Determine the immediate safety needs of the child.

Request that the parent leave the room while interviewing the child.

Ask the child how the injury occurred.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Reporting suspected abuse to Child Protective Services is important when there are concerns of child abuse. However, in this scenario, the nurse's first priority should be to ensure the immediate safety and well-being of the child. Without assessing the child's safety, it would be premature to report abuse. Child Protective Services can be involved later if necessary.

Choice C rationale:

Requesting that the parent leave the room while interviewing the child can be a useful strategy when there are concerns about abuse or when the child needs to speak freely. However, this should not be the first action. Ensuring the child's immediate safety takes precedence.

Choice D rationale:

Asking the child how the injury occurred is important in gathering information, but it should not be the first action. Ensuring the child's safety is of primary importance, and this information can be gathered after immediate safety needs are addressed.

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Correct Answer is C

Explanation

Choice A rationale:

Justice refers to the fair and equitable distribution of resources and treatment, and it doesn't directly apply to the nurse supporting the client's refusal of medications.

Choice B rationale:

Beneficence involves the promotion of the client's well-being and may sometimes conflict with the client's autonomy when they refuse treatment. This choice doesn't apply to the situation where the nurse supports the client's decision to refuse medications.

Choice C rationale:

Autonomy is the ethical principle that supports an individual's right to make decisions about their own care, even if those decisions go against medical advice. In this scenario, the nurse is respecting the client's autonomy by supporting their choice to refuse medications.

Choice D rationale:

Veracity involves truth-telling and honesty in the nurse-client relationship. While it is essential, it is not the primary ethical principle being displayed when the nurse supports the client's refusal of medications.

A. Tell the client he cannot refuse the treatment because he was involuntarily committed. B. Document the client's refusal of the treatment in the medical record. C. Inform the client that ECT does not require client consent. D. Ask the client's family to encourage the client to receive ECT.

Correct Answer is B

Explanation

Choice A rationale:

(Statement then rationale) Choice A is not the correct option. Involuntary commitment does not strip a person of their right to refuse treatment. It is essential to respect the client's autonomy and their right to refuse treatment, even in the case of involuntary commitment. This approach promotes ethical and legal principles related to informed consent and patient rights.

Choice C rationale:

(Statement then rationale) Choice C is also not the correct option. Electroconvulsive therapy (ECT) does indeed require client consent. Informed consent is a fundamental aspect of medical treatment, and healthcare providers must obtain the patient's permission before administering any procedure or treatment, including ECT.

Choice D rationale:

(Statement then rationale) Choice D is not the correct answer either. Involving the client's family without their consent is not appropriate. The decision to accept or refuse treatment should remain with the client, and their autonomy should be respected. Coercing the client through their family would be ethically and legally problematic. Now, let's move on to the next question.

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A nurse in a provider's office is assessing a school-age child who has a spiral fracture.The parent of the child provides different accounts of the cause of the injury.Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has bipolar disorder and is refusing to take prescribed medications.Which of the following ethical principles is the nurse displaying when he supports the client's refusal of medications?

Correct Answer is C

Explanation

A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the health care team.Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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A nurse in a provider's office is assessing a school-age child who has a spiral fracture.
The parent of the child provides different accounts of the cause of the injury.
Which of the following actions should the nurse take first?