For which of the following clients is a nurse considered a mandated reporter to the appropriate agency?
A client who reports lying to their provider about having suicidal ideation.
A client who reports that they enjoy smoking marijuana on weekends.
A client who reports that they took $20 from the cash register where they work.
A client who reports that their partner ties their child to a bed as punishment.
The Correct Answer is D
Choice A reason:
A client lying about suicidal ideation to their provider does not fall under mandatory reporting unless there is evidence or suspicion of harm to self or others. In this case, the client has reported lying, which indicates there is no actual suicidal ideation or intent.
Choice B reason:
While smoking marijuana may be illegal in some jurisdictions, it does not typically require mandatory reporting by a nurse unless it directly affects patient care or involves minors.
Choice C reason:
Theft from an employer is a legal issue but does not require mandatory reporting by a nurse unless it involves stealing medication or other actions that could harm patients.
Choice D reason:
This choice clearly involves child abuse, which is a reportable offense. Nurses are mandated reporters for any suspected child abuse or neglect. Tying a child to a bed as punishment can cause physical and emotional harm, and it is the nurse's duty to report this to the appropriate agency to ensure the child's safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
The client's best friend moving away can significantly impact their emotional well-being and stress levels. Emotional support is crucial during recovery from major surgery like coronary artery bypass. The absence of a close friend can lead to feelings of loneliness and increased stress, which can negatively affect the healing process. Stress can elevate cortisol levels, which may impair immune function and slow down recovery. Therefore, the nurse should recognize this factor as a potential interference with the client's recovery.
Choice B reason:
Walking the dog daily is generally beneficial for recovery. Physical activity, such as walking, can improve cardiovascular health, enhance mood, and reduce stress. It helps in maintaining mobility and preventing complications like blood clots. Therefore, this activity is unlikely to interfere with the client's recovery and may actually support it.
Choice C reason:
Stopping coffee consumption can have mixed effects. While reducing caffeine intake might be beneficial for some individuals, abrupt cessation can lead to withdrawal symptoms such as headaches, irritability, and fatigue. These symptoms can add to the client's stress and discomfort during recovery. However, this is generally a temporary issue and not as significant as the emotional impact of losing a close friend.
Choice D reason:
Exercising in the morning is typically a positive habit for recovery. Regular exercise can improve circulation, reduce stress, and enhance overall physical health. It can also help in maintaining a routine and providing a sense of normalcy. Therefore, morning exercise is unlikely to interfere with recovery and is usually encouraged.
Correct Answer is ["B","C","E"]
Explanation
Choice A reason:
Placing the client in a reclining chair is not a recommended intervention for managing wandering behavior. While it might seem like a way to keep the client stationary, it does not address the underlying issue of wandering and can lead to discomfort or pressure sores if the client remains in the chair for extended periods.
Choice B reason:
Installing sensor devices on outside doors is an effective intervention. These devices can alert caregivers when the client attempts to leave the house, thereby preventing wandering and potential falls. This measure enhances safety by providing immediate notification of the client's movements.
Choice C reason:
Positioning the mattress on the floor can help prevent injuries from falls. If the client rolls out of bed, the risk of injury is minimized because the fall distance is significantly reduced. This is a practical solution for clients who are prone to falling out of bed.
Choice D reason:
Encouraging physical activity prior to bedtime can be beneficial for overall health but may not be the best strategy for managing nighttime wandering. Physical activity should be balanced and not too close to bedtime, as it can sometimes lead to increased alertness rather than promoting sleep.
Choice E reason:
Putting locks at the top of doors is a useful safety measure. Clients with Alzheimer's disease may not notice or be able to reach locks placed higher up, which can prevent them from wandering outside unsupervised. This intervention helps ensure the client's safety by restricting access to potentially dangerous areas.
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