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.
The Correct Answer is B
A. Instructing the client to report the theft to the police might be appropriate in cases of theft, but the nurse's primary responsibility is to ensure the safety and well-being of the client. Reporting
to the authorities can be pursued after ensuring the client's immediate safety.
B. Reporting the possible abuse to adult protective services is the appropriate action when financial exploitation or abuse is suspected. Adult protective services can investigate the situation and provide support and resources to ensure the client's safety.
C. Asking the client if there is another family member they can call for financial help is a valid consideration, but it does not address the potential abuse or exploitation of the client's finances.
D. Restricting visitation for the client's family until discharge is not appropriate without further assessment and intervention. It may also isolate the client from potential sources of support and assistance.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A client who has a head injury and whose pupils are fixed and dilated: This client likely has a severe head injury with signs of increased intracranial pressure, which requires urgent intervention. However, airway and breathing take precedence over neurological status in triage. B. A client who has a dislocated shoulder and reports a pain level of 8 on a scale from 0 to 10: While this client is in pain, dislocated shoulder is not immediately life-threatening in the context of a mass casualty situation.
C. A client who has a 20.3-cm (8-in) scalp laceration with intermittent bleeding: Although this client has a significant laceration, it is not immediately life-threatening compared to compromised breathing.
D. A client who has diminished breath sounds and paradoxical chest movement: This client is likely experiencing a tension pneumothorax, a life-threatening condition that requires immediate intervention to decompress the chest and restore normal breathing.
Correct Answer is B
Explanation
A. Instructing the client to report the theft to the police might be appropriate in cases of theft, but the nurse's primary responsibility is to ensure the safety and well-being of the client. Reporting
to the authorities can be pursued after ensuring the client's immediate safety.
B. Reporting the possible abuse to adult protective services is the appropriate action when financial exploitation or abuse is suspected. Adult protective services can investigate the situation and provide support and resources to ensure the client's safety.
C. Asking the client if there is another family member they can call for financial help is a valid consideration, but it does not address the potential abuse or exploitation of the client's finances.
D. Restricting visitation for the client's family until discharge is not appropriate without further assessment and intervention. It may also isolate the client from potential sources of support and assistance.
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