A nurse is caring for an older adult client who states, "I can't pay for my care because my kid took all my money." Which of the following actions should the nurse take?

Instruct the client to report the theft to the police.

Report the possible abuse to adult protective services.

Ask the client if there is another family member they can call for financial help.

Restrict visitation for the client's family until discharge.

Answer and Explanation

The Correct Answer is B

A.   Instruct the client to report the theft to the police: While reporting theft to the police may be necessary, the immediate concern is the safety and well-being of the client, especially if financial exploitation or abuse is suspected.
B.   Report the possible abuse to adult protective services: Suspected financial exploitation or abuse of an older adult should be reported to the appropriate authorities, such as adult protective services, for investigation and intervention.
C.   Ask the client if there is another family member they can call for financial help: While involving other family members may be appropriate in some situations, suspected abuse or exploitation requires intervention from trained professionals.
D.   Restrict visitation for the client's family until discharge: Restricting visitation should only be done if there is a clear risk to the client's safety, and it should not be the first action taken in response to suspected abuse.

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Correct Answer is C

Explanation

A. The television set turned to a loud volume may not necessarily pose a safety hazard unless it disturbs others in the household or contributes to hearing damage. However, it is not a direct safety concern for the client.
B. The dining room table having low chairs with no armrests could present a challenge for older adults when sitting down or getting up, but it is not an immediate safety hazard.
C. The bedroom extension cord placed under a heavy nightstand is a safety hazard because it poses a risk of electrical fire if the cord becomes damaged or overloaded. The nurse should
intervene to relocate the extension cord to a safer location.

D. The presence of wall-to-wall carpeting in the living room is not necessarily a safety hazard unless it is loose or torn, posing a tripping hazard. However, it is not explicitly described as such in the scenario.

A. Name and medical record number B. Birth date and mother's name C. Age and diagnosis D. Footprints and identification number

Correct Answer is A

Explanation

- Rationale for A: The name and medical record number are unique identifiers that are used to accurately match a newborn with their medical records and ensure that the correct medication is administered. This method of identification minimizes the risk of medical errors, which is crucial in a hospital setting where multiple newborns may be present.

- Rationale for B: While the birth date and mother's name are important, they may not be as effective for identification because multiple newborns could share a birth date, and there could be more than one mother with the same name in the maternity ward.

- Rationale for C: Age and diagnosis are not specific enough for the identification of a newborn when administering medication. Age is not a distinguishing factor in a neonatal unit, and the diagnosis could apply to multiple infants.

- Rationale for D: Footprints and identification number can be used as secondary identifiers. However, footprints may change rapidly as the newborn grows, and the identification number should be cross-referenced with the name and medical record number for accurate identification.

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A nurse is caring for an older adult client who states, "I can't pay for my care because my kid took all my money." Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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