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. This is an example of primary prevention, which aims to prevent the onset of disease.
B. This is an example of secondary prevention, which involves early detection and diagnosis.
C. Tertiary prevention involves managing and treating existing diseases to prevent complications and improve quality of life, such as administering a nebulized bronchodilator.
D. This is an example of primary prevention through education.
Correct Answer is A
Explanation
A. Measuring and recording intake and output is within the scope of practice for an AP.
B. Teaching requires professional knowledge and is the responsibility of a nurse.
C. Evaluating pain relief requires critical thinking and assessment skills, which are within the nurse's scope of practice.
D. Wound irrigation is a skilled task that requires the expertise of a nurse.
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