On finding multiple bruises on a client's arms and back, the nurse suspects that the client is being abused by a daughter who lives with the client. When questioned, the client denies any abuse. Despite the client's denial, the nurse should report the suspected abuse on the basis of which rationale?
The nurse wants peers to see the nurse as a hero.
The nurse has a legal and ethical responsibility to report the suspected abuse.
The client does not want anyone to know what is happening in the client's home.
The client is ashamed to admit to the abuse by the daughter.
The Correct Answer is B
A. Reporting for personal recognition is not appropriate or ethical.
B. Nurses are mandated reporters and have a legal and ethical duty to report suspected abuse.
C. While the client may not want others to know, the nurse's responsibility is to ensure the client's safety.
D. Although the client may feel ashamed, the priority is their safety and wellbeing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Confrontation involves addressing discrepancies or conflicts directly, which is not what the nurse is doing here.
B. Providing information involves giving facts or details, which is not the primary focus of the nurse's question.
C. Clarification is used to ensure understanding, which the nurse is seeking by confirming the client's feelings.
D. Summarizing involves briefly restating the main points, which is not what the nurse is doing in this instance.
Correct Answer is B
Explanation
A. Analysis/diagnosis involves identifying health problems based on assessment data.
B. Evaluation involves assessing the effectiveness of the interventions and progress towards goals, which is what the nurse is doing.
C. Implementation refers to carrying out the plan of care.
D. Planning involves setting goals and determining the best interventions, which precedes implementation and evaluation.
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