The home health nurse assesses an older adult client and observes possible signs of abuse.
Which resource should the nurse use to guide their decision regarding reporting these suspicions?

American Nurses Association (ANA) Code of Ethics.

Nursing procedure manual.

State law.

Nurse practice act.

Answer and Explanation

The Correct Answer is C

Answer and explanation The correct answer is C. Choice A rationale

While the ANA Code of Ethics provides general guidance on ethical nursing practice, it does not provide specific procedures for reporting elder abuse.

Choice B rationale

A nursing procedure manual might not contain the specific legal procedures for reporting elder abuse. These procedures can vary by jurisdiction.

Choice C rationale

State law often provides specific guidelines on how and when to report suspected elder abuse. Therefore, it would be the most appropriate resource for the nurse to use in this situation.

Choice D rationale

The Nurse Practice Act governs nursing practice in each state, but it might not provide detailed procedures for reporting elder abuse.

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Correct Answer is B

Explanation

Answer and explanation

The correct answer is Choice B.

Choice A rationale

A potassium level of 3.7 mEq/L (3.7 mmol/L) is within the normal range, which is typically between 3.6 and 5 mEq/L12. Therefore, this result does not need to be reported immediately to the healthcare provider.

Choice B rationale

B-type natriuretic peptide (BNP) levels are used to diagnose and monitor heart failure. A BNP level of 550 pg/mL (550 ng/L) is significantly higher than the normal range, which is less than 100 pg/mL34. High BNP levels indicate that the heart is working harder than normal, which is a common occurrence in heart failure. Therefore, this result should be reported immediately to the healthcare provider.

Choice C rationale

A total cholesterol level of 190 mg/dL (4.92 mmol/L) is considered borderline high. While it’s important to manage cholesterol levels in patients with heart failure, this result is not critical and does not need to be reported immediately to the healthcare provider.

Choice D rationale

A glycosylated hemoglobin (A1C) level of 7% is at the threshold for the diagnosis of diabetes. Diabetes can complicate the management of heart failure and increase the risk of cardiovascular events. However, this result is not critical and does not need to be reported immediately to the healthcare provider.

A. Perceived barriers. B. Perceived susceptibility. C. Perceived severity. D. Perceived benefits.

Correct Answer is B

Explanation

The correct answer is B. Perceived susceptibility.

Explanation:

The Health Belief Model (HBM) explains health-related behaviors based on an individual's perceptions. Perceived susceptibility refers to a person's belief about their risk of developing a disease. In this case, the client believes they are not susceptible to the flu, which influences their decision not to get vaccinated.

Why the other options are incorrect:

A. Perceived barriers – This refers to obstacles preventing someone from taking action, such as cost or fear of side effects. The client did not mention barriers, only their belief that they don’t get the flu.
C. Perceived severity – This relates to how serious a person believes a condition is. The client did not indicate concern about how severe the flu might be, only that they don’t expect to get it.
D. Perceived benefits – This focuses on a person’s belief in the effectiveness of an action. The client’s response does not express doubts about the vaccine’s benefits, just their belief that flu prevention is unnecessary for them.

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The home health nurse assesses an older adult client and observes possible signs of abuse.Which resource should the nurse use to guide their decision regarding reporting these suspicions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A home health nurse is examining the lab results of several patients with a history of heart failure (HF). Which patient’s finding should the nurse immediately report to the healthcare provider?

Correct Answer is B

Explanation

A client comes to the clinic for an annual physical exam. When asked about their influenza vaccine status, the client responds, “I never get the vaccine because I don’t get the flu.”. Which aspect of the Health Belief Model is the client demonstrating?

Correct Answer is B

Explanation

Explanation:

Why the other options are incorrect:

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The home health nurse assesses an older adult client and observes possible signs of abuse.
Which resource should the nurse use to guide their decision regarding reporting these suspicions?