A nurse is assisting in the care of an older adult. The client appears to be malnourished and bruising is noted on their arms and legs. The nurse should identify which of the following as the legal responsibility of the nurse?

Notifying the caregiver of the findings.

Including findings during hand-off report.

Documenting suspicions in the client's medical record

Reporting findings to social services.

Answer and Explanation

The Correct Answer is D

A. Notifying the caregiver of the findings: If the caregiver is potentially involved in abuse or neglect, informing them directly could put the client at further risk. The nurse must follow appropriate reporting channels rather than confront the caregiver.

B. Including findings during hand-off report: While communication during hand-off is important for continuity of care, it does not fulfill the nurse’s legal obligation to formally report suspected abuse or neglect to the appropriate authorities.

C. Documenting suspicions in the client's medical record: Accurate and objective documentation of findings is important, but simply recording observations in the medical record does not meet the legal responsibility to report suspected abuse.

D. Reporting findings to social services: Nurses are mandated reporters and must legally report suspected abuse or neglect to the appropriate protective services. Reporting ensures that an investigation can occur to protect the client from further harm.

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Correct Answer is B

Explanation

A. "Let's review hormonal contraceptives first": Redirecting the conversation to hormonal contraceptives ignores the client’s expressed preference. Effective communication involves respecting client choices and supporting informed decision-making rather than pushing alternative methods first.

B. "I will provide you with more information about this": This response supports the client’s autonomy by offering information tailored to their expressed interest. Providing education about natural family planning, including techniques and effectiveness, allows the client to make an informed and empowered decision.

C. "Have you considered other alternatives": While exploring options is sometimes appropriate, immediately questioning the client's choice may feel dismissive. It is important to first respect and address the client's initial interest before introducing other possibilities if needed.

D. "Natural family planning is not beneficial for everyone.": Although this statement may be true in some cases, it is not an appropriate initial response. It risks discouraging the client prematurely rather than fostering an open, supportive discussion about how to use natural family planning effectively.

A. Perfectionistic B. Reclusive C. Impulsive D. Submissive

Correct Answer is D

Explanation

A. Perfectionistic: Perfectionism is more characteristic of obsessive-compulsive personality disorder, where individuals are overly focused on order, control, and achieving flawless standards. Clients with dependent personality disorder are more focused on relying on others for decision-making rather than striving for perfection.

B. Reclusive: Being reclusive, or socially withdrawn, is a common feature of avoidant personality disorder, not dependent personality disorder. Clients with dependent personality disorder typically seek out and maintain close relationships because they have an intense fear of being alone and unable to care for themselves.

C. Impulsive: Impulsivity is commonly associated with borderline personality disorder, where individuals act without considering consequences. Clients with dependent personality disorder tend to be cautious and overly reliant on others for guidance and approval, rather than acting impulsively on their own.

D. Submissive: Submissiveness is a hallmark of dependent personality disorder. Clients demonstrate extreme dependency on others for emotional and decision-making support, often avoiding disagreement and putting others' needs above their own to maintain relationships and avoid abandonment.

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A nurse is assisting in the care of an older adult. The client appears to be malnourished and bruising is noted on their arms and legs. The nurse should identify which of the following as the legal responsibility of the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who is verbalizing their desire for natural family planning as a method of contraception. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

A nurse is caring for a client who has dependent personality disorder. Which of the following manifestations should the nurse expect?

Correct Answer is D

Explanation

A male nurse is assigned to care for an older adult female client. The client tells the nurse that she wants a female nurse to care for her. Which of the following statements should the nurse make?

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A nurse is collecting data from a group of clients. Which of the following images indicates a client the nurse should identify as exhibiting clubbing of the fingers?

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A nurse is using the assistance of an interpreter to reinforce discharge teaching to a client who does not speak the same language as the nurse. Which of the following actions should the nurse plan to take when working with an interpreter?

The nurse has reviewed the Nurses' Notes and Provider Prescriptions at 1100 and Diagnostic Results on Day 3. The nurse is preparing the client for surgery. Which of the following actions should the nurse take. Select all that apply.

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