A nurse is caring for a group of clients on a mental health unit. For which of the following clients is the nurse considered a mandated reporter to the appropriate agency?
A client who reports that he enjoys smoking marijuana on weekends
A client who reports that she took $20 from the cash register where she works
A client who reports lying to his provider about having suicidal ideation
A client who reports that her partner ties their child to a bed as punishment
The Correct Answer is D
A. A client who reports that he enjoys smoking marijuana on weekends:
This situation involves an individual admitting to recreational drug use. While marijuana use might be illegal in some jurisdictions, it is generally not a reportable offense by itself unless it involves a minor. However, the nurse should educate the client about the potential risks associated with drug use.
B. A client who reports that she took $20 from the cash register where she works:
This scenario involves a confession of theft. While stealing is a legal offense, it does not fall under the category of mandatory reporting unless it involves abuse or neglect of a vulnerable population (such as elderly individuals in a care facility). The appropriate action here would be for the nurse to address the issue within the facility's protocols, but it does not require reporting to an external agency.
C. A client who reports lying to his provider about having suicidal ideation:
This situation involves dishonesty with a healthcare provider. While it is concerning behavior, it does not typically fall under the category of mandatory reporting. Instead, it highlights the importance of addressing trust issues and ensuring open communication between the client and healthcare providers.
D. A client who reports that her partner ties their child to a bed as punishment:
This scenario involves a report of child abuse. Tying a child to a bed as punishment can be considered a form of physical abuse and a violation of the child's safety and well-being. Healthcare professionals, including nurses, are mandated reporters of suspected child abuse or neglect. They are required by law to report such incidents to the appropriate child protective services agency to ensure the safety of the child involved.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Hgb 10 g/dL
Anemia (low hemoglobin levels) is a common finding in individuals with anorexia nervosa due to inadequate nutrition, leading to a decreased production of red blood cells. Hemoglobin levels below the normal range are often seen in people with severe malnutrition, such as those with anorexia nervosa.
B. Blood glucose 100 mg/dL:
A blood glucose level of 100 mg/dL is within the normal range. Anorexia nervosa typically does not cause specific changes in blood glucose levels.
C. TIBC 11 mcg/dL:
Total Iron-Binding Capacity (TIBC) is a test that measures the blood's capacity to bind to iron. The given value of 11 mcg/dL is unusually low and might not be within the typical reference range. However, the significance of this value is not clear without the specific reference range for the laboratory performing the test.
D. Potassium 3.7 mEq/L:
A potassium level of 3.7 mEq/L is within the normal range. Electrolyte imbalances, including low potassium levels (hypokalemia), can occur in individuals with anorexia nervosa due to inadequate intake and purging behaviors. While this level is within the normal range, individuals with anorexia nervosa may still exhibit electrolyte imbalances that require monitoring and management.
Correct Answer is D
Explanation
A. Increased time sleeping:
Increased time sleeping alone is not a specific or direct indicator of PTSD. However, changes in sleep patterns are common in individuals with PTSD, with symptoms like nightmares, insomnia, and disturbances in sleep. These disturbances can lead to increased time in bed, but this alone is not a definitive sign of PTSD.
B. Inability to express empathy:
Inability to express empathy is a complex issue and could be related to various emotional or psychological factors. While people with PTSD can experience difficulties in interpersonal relationships, including issues with empathy, this alone is not a specific indicator of the disorder. PTSD primarily involves symptoms related to re-experiencing trauma, avoidance, negative mood changes, and arousal symptoms.
C. Auditory hallucinations:
Auditory hallucinations, which involve hearing voices or sounds that others do not, are not typically associated with PTSD. This symptom is more commonly linked to conditions like schizophrenia or other psychotic disorders, but it is not specific to PTSD.
D. Difficulty concentrating:
Difficulty concentrating is a common and well-recognized symptom of PTSD. Individuals with PTSD often struggle with focus, memory, and attention due to the intrusion of traumatic thoughts and memories. This symptom can significantly impact their daily functioning and is one of the hallmark features of the disorder.
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