As a mandatory reporter of elder abuse, which of these statements must be present before a nurse notifies the authorities?

Statements from the victim

Statements from witnesses

Suspicion of abuse and/or neglect

Proof of abuse and/or neglect

Answer and Explanation

The Correct Answer is C

Choice A reason: Statements from the victim are valuable but not required for reporting elder abuse. Mandatory reporters must act on reasonable suspicion, as victims may be unable or unwilling to report due to fear or incapacity, making this incorrect.

Choice B reason: Witness statements support abuse cases but are not mandatory for reporting. Nurses must report based on suspicion, as waiting for witness corroboration could delay protection, making this an incorrect requirement for notification.

Choice C reason: As a mandatory reporter, a nurse must notify authorities based on reasonable suspicion of abuse or neglect, as per legal standards. This ensures timely intervention to protect vulnerable elders, even without definitive proof, making this correct.

Choice D reason: Proof of abuse or neglect is not required for reporting, as mandatory reporters act on suspicion. Requiring proof could delay or prevent reporting, leaving elders at risk, making this an incorrect threshold for notification.

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Correct Answer is A

Explanation

Choice A reason: Tenderness in the right lower quadrant on light palpation is a classic sign of appendicitis, as the appendix is located in this region. Inflammation causes localized peritoneal irritation, leading to pain, which may be accompanied by rebound tenderness or guarding, making this the correct structure.

Choice B reason: The spleen is located in the left upper quadrant, not the right lower quadrant. Tenderness in the right lower quadrant does not correspond to splenic pathology, such as splenomegaly or rupture, making this an incorrect structure for the described finding.

Choice C reason: The gallbladder is in the right upper quadrant, where tenderness might suggest cholecystitis. Right lower quadrant tenderness does not align with gallbladder pathology, as its anatomical location is distinct, making this an incorrect structure for the observed symptom.

Choice D reason: The spine is a midline structure, and tenderness in the right lower quadrant is unrelated to spinal pathology. Spinal issues typically cause back or radicular pain, not localized abdominal tenderness, making this an incorrect choice for the finding.

A. Nodule B. Wheal C. Papule D. Pustule

Correct Answer is C

Explanation

Choice A reason: A nodule is a solid, elevated lesion, typically greater than 1 cm in diameter, often extending deeper into the dermis or subcutaneous tissue. The lesion described is less than 1 cm, making nodule an incorrect term for this superficial, smaller skin finding.

Choice B reason: A wheal is a transient, elevated lesion caused by dermal edema, often associated with allergic reactions or urticaria. It is not solid and typically lacks the circumscribed nature of the described lesion, making wheal an inappropriate documentation term.

Choice C reason: A papule is a solid, elevated, circumscribed lesion less than 1 cm in diameter, often due to localized skin changes like inflammation or benign growths. This matches the described lesion’s characteristics, making papule the correct term for documentation.

Choice D reason: A pustule is an elevated lesion containing pus, often associated with infections like acne. The described lesion is solid, not fluid-filled, so pustule does not fit the clinical presentation, making it an incorrect choice.

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As a mandatory reporter of elder abuse, which of these statements must be present before a nurse notifies the authorities?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During an abdominal assessment, the nurse elicits tenderness on light palpation in the right lower quadrant. The nurse recognizes this finding could indicate a problem with what structure?

Correct Answer is A

Explanation

The nurse notices that a patient has a solid, elevated, circumscribed lesion that is less than 1 cm in diameter. How should the nurse document this finding?

Correct Answer is C

Explanation

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