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 {"dropdown-group-1":"D","dropdown-group-2":"D"}
Explanation
The client demonstrates risk for feelings of hopelessness due to powerlessness.
Choice A: Inadequate Nutrition
Reason: While the client ate only one bite of toast, which might suggest inadequate nutrition, the primary concern based on the provided information is not related to nutrition. The client’s symptoms and history point more towards emotional and psychological issues rather than nutritional deficiencies.
Choice B: An Unkempt Appearance
Reason: The client is described as wearing wrinkled sweatpants and a stained t-shirt, which indicates an unkempt appearance. However, this is more a symptom of their overall mental state rather than the primary risk factor. The unkempt appearance is a result of their depressive symptoms and feelings of hopelessness.
Choice C: Inappropriate Thought Process
Reason: There is no direct evidence in the provided information that the client is experiencing inappropriate thought processes. The client’s thoughts and feelings, such as sadness and hopelessness, are consistent with depression but do not indicate a disturbed or inappropriate thought process.
Choice D: Feelings of Hopelessness
Reason: The client explicitly states feeling “sad and hopeless.” This is a significant indicator of depression and is a primary concern. Feelings of hopelessness are a major risk factor for worsening depression and potential self-harm.
Choice E: Powerlessness
Reason: The client’s history of losing their parents and subsequent deep depression, along with their current lack of interest in activities and social connections, suggests a sense of powerlessness. This feeling of powerlessness can exacerbate their feelings of hopelessness and depression.
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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