A nurse is teaching a student nurse about situations of abuse and being a mandatory reporter.
Which of the following statements by the student nurse demonstrates an understanding of the teaching?
Mandatory reporters may use their medical training to use discretion to decide whether or not to report child abuse or neglect.
Mandatory reporters are required to report any suspected or known instances of child abuse or neglect.
Mandatory reporters are exempt from reporting cases involving emotional or psychological abuse.
Mandatory reporters should avoid reporting suspected abuse or neglect.
The Correct Answer is B
Choice A rationale
Mandatory reporters are legally and ethically obligated to report all suspected or known instances of child abuse or neglect, regardless of their medical training or personal discretion. The purpose of mandatory reporting laws is to ensure that all potential cases are investigated by appropriate authorities, as healthcare professionals are not tasked with making definitive legal judgments about abuse.
Choice B rationale
Mandatory reporters are legally and ethically bound to report any suspected or known instances of child abuse or neglect to the appropriate authorities. This obligation is a cornerstone of child protection, ensuring that children at risk receive necessary intervention and support. The reporting requirement overrides personal discretion to safeguard vulnerable individuals.
Choice C rationale
Mandatory reporting statutes typically encompass all forms of child abuse and neglect, including emotional and psychological abuse. These forms of abuse can be as detrimental to a child's development and well-being as physical abuse, leading to significant long-term psychological harm. Therefore, reporters are not exempt from reporting such cases.
Choice D rationale
Mandatory reporters have a legal and ethical responsibility to report suspected abuse or neglect, not to avoid it. Failing to report can result in legal penalties and, more importantly, can perpetuate harm to the victim. The intent of mandatory reporting laws is to create a safety net for vulnerable individuals by ensuring concerns are addressed by authorities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Adjusting levothyroxine dosage daily based on blood levels is generally not appropriate due to the drug's long half-life, which necessitates stable drug concentrations before accurate assessment. Frequent adjustments risk inducing fluctuations in thyroid hormone levels, potentially leading to hyperthyroidism or continued hypothyroidism and making precise titration challenging for maintaining euthyroid state.
Choice B rationale
Remaining on the initial dosage throughout treatment is highly improbable for levothyroxine. Thyroid hormone replacement therapy requires individualized dosing due to variations in patient metabolism, weight, and the severity of hypothyroidism. Regular monitoring of thyroid stimulating hormone (TSH) levels is essential to titrate the dose, ensuring optimal therapeutic effect and avoiding complications.
Choice C rationale
Starting levothyroxine at a high dosage is contraindicated, particularly in older adults or those with cardiovascular comorbidities, due to the risk of precipitating adverse cardiac events such as arrhythmias or angina. High doses can overwhelm the cardiovascular system, demanding increased metabolic activity. Gradual titration minimizes these risks and allows for physiological adaptation.
Choice D rationale
Starting on a low dosage and gradually increasing levothyroxine is the standard and safest approach. This strategy allows the body to adapt to the exogenous thyroid hormone, minimizing the risk of adverse effects like cardiac arrhythmias, particularly in sensitive individuals. Gradual titration prevents rapid metabolic shifts and allows for careful monitoring of patient response and TSH levels.
Correct Answer is ["0.3"]
Explanation
Step 1 is: 25 mg ÷ (80 mg ÷ 1 mL) = 0.3125 mL.
Step 2 is: Round 0.3125 mL to the nearest tenth, which is 0.3 mL. Answer: 0.3 mL.
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