Which of the following statements is true of the nurse's role as a mandated reporter? Select all that apply
the nurse's role as mandated reporter is limited to her time on duty.
reports can be made anonymously
people who report suspected abuse are given immunity from criminal prosecution
once a report has been filed, a visit to the home must occur within 72 hours
if a claim of abuse is found to be unfounded, the reporter could be arrested or fined
Correct Answer : B,C
Mandated reporting laws are legal frameworks requiring healthcare professionals to report suspected child abuse, elder neglect, domestic violence, and other forms of maltreatment. These laws prioritize patient protection, legal immunity, and timely reporting obligations while defining the scope of professional responsibility beyond clinical care and into public safety and safeguarding.
Rationale:
A. Mandated reporting is not limited to work hours, as the legal obligation applies 24 hours a day whenever reasonable suspicion of abuse arises. Nurses must report based on professional duty, regardless of employment status, shift timing, or location of observation.
B. Reports of suspected abuse may be made confidentially or anonymously depending on jurisdictional policy. This protects the reporter from retaliation and encourages early reporting of child protection concerns without fear of identification.
C. Mandated reporters are typically granted legal immunity from civil or criminal liability when reports are made in good faith. This ensures healthcare professionals can report suspected abuse without fear of prosecution, even if investigations later find no evidence.
D. Home visits within a strict 72-hour timeframe are not universally mandated by reporting laws. Investigation timelines vary by jurisdiction and agency prioritization, and the nurse is not responsible for enforcing or scheduling official investigative visits.
E. Mandated reporters are protected from punishment when reports are made in good faith. However, they are not arrested or fined for unfounded claims unless there is evidence of malicious reporting or intentional false allegations.
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Correct Answer is C
Explanation
Live attenuated vaccines such as the Varicella vaccine rely on controlled viral replication to stimulate cell-mediated immunity and long-term antibody production. Contraindications include conditions causing significant immunosuppression, as impaired T-cell function increases risk of uncontrolled viral replication and vaccine-associated disease.
Rationale:
A. A prior mild post-vaccination fever of 101°F is not a contraindication to further doses. Low-grade febrile reactions are common and reflect normal immune activation, not hypersensitivity or vaccine failure.
B. Localized injection site pain is an expected adverse effect following vaccination. It reflects localized inflammatory response and does not indicate allergy or contraindication to future doses.
C. Steroid therapy for rheumatoid arthritis indicates immunosuppression, which is a contraindication to live attenuated vaccines like Varicella. Suppressed T-cell function increases risk of uncontrolled viral replication and vaccine-related infection.
D. Strawberry allergy is unrelated to vaccine components. Food allergies without known vaccine excipient sensitivity (such as gelatin or neomycin) do not contraindicate administration of the Varicella vaccine.
Correct Answer is D
Explanation
A Milwaukee brace is a cervicothoracolumbosacral orthosis used in the management of adolescent scoliosis to halt curve progression during skeletal growth. It applies corrective pressure to the trunk while allowing growth modulation, requiring prolonged daily wear with proper skin protection to prevent breakdown and ensure alignment correction.
Rationale:
A. Wearing the brace only during sleep is incorrect because therapeutic effectiveness depends on prolonged daily wear, typically 18–23 hours per day. Limiting use to sleep provides insufficient corrective pressure, allowing continued spinal curvature progression during active growth phases.
B. Using the brace only as needed for back pain is inappropriate because the Milwaukee brace is not an analgesic device but a structural correction orthosis. Intermittent use fails to maintain continuous spinal alignment forces required to prevent worsening of scoliosis.
C. Wearing the brace directly against the skin increases risk of skin irritation and pressure injury, especially over bony prominences. Continuous friction and moisture accumulation can lead to breakdown, discomfort, and reduced compliance with long-term brace therapy.
D. The brace should be worn over a fitted t-shirt to protect the skin from direct contact with rigid plastic components, reducing friction and pressure injury risk. A snug cotton layer also improves comfort, enhances adherence, and allows early detection of skin breakdown during routine inspection.
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