A nurse is assessing an older adult client who was brought to the emergency department by his adult son, who reports that the client fell at home. The nurse suspects elder abuse. Which of the following actions should the nurse take?
Ask the client's son to go to the waiting area.
Ask the client about his injuries with the son present.
Treat and discharge the client.
File an incident report.
The Correct Answer is A
A. Asking the client's son to go to the waiting area allows the nurse to have a private conversation with the client, which is crucial in suspected cases of elder abuse to gather information without potential interference or intimidation.
B. Asking about injuries with the son present might hinder the client from disclosing information due to fear or pressure.
C. Treating and discharging the client without addressing the suspected elder abuse could potentially put the client in further danger.
D. Filing an incident report might be necessary but should follow an assessment and investigation of the situation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Inadequate food supply is a basic physiological need that directly affects recovery, wound healing, and overall postoperative outcomes after coronary artery bypass grafting. Ensuring access to adequate nutrition is essential for physical recovery and takes priority in discharge planning.
B. Limited social support is important for long-term recovery and adherence to care but does not address an immediate physiological need. It is typically addressed after basic needs are secured.
C. Low pain tolerance affects comfort and recovery experience but is managed through pain control strategies and does not take priority over essential survival needs like nutrition.
D. Decreased self-esteem is a psychosocial concern that, while important for holistic recovery, is addressed after physiological and safety needs have been met.
Correct Answer is C
Explanation
A. Instructing the client's family to contact the insurance provider might be helpful, but it doesn't address the immediate need for the oxygen tank.
B. Contacting social services might assist with various needs, but it might not expedite the delivery of the oxygen equipment.
C. Notifying the provider about the delayed oxygen tank delivery is essential to update the provider on the client's situation and potentially expedite the process.
D. Sending an oxygen tank from the facility home with the client might not be feasible due to regulations, safety concerns, and potential liability issues.
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