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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Recommend that the client participate in more solitary activities.
This option is not suitable because encouraging solitary activities may lead to further isolation, which can worsen the client's depressive feelings. Social support and connection are often crucial during the grieving process.
B. Explain to the client that the duration of grief is highly variable and can last for years.
This is the correct choice. Grief is a complex and individual process, and there is no specific timeline for how long it should last. Some people may continue to experience feelings of sadness and loss for an extended period after the death of a loved one. Validating the client's emotions and letting them know that their experience is within the range of normal can be comforting.
C. Encourage the client to avoid discussing the events surrounding the sibling's death.
This option is not recommended. Encouraging the client to avoid discussing their feelings can hinder the healing process. Open communication about the loss can help the client process their emotions and find ways to cope.
D. Caution the client against feeling angry at the sibling.
This option is not appropriate. Allowing the client to express their feelings, including anger, is a healthy part of the grieving process. Suppressing emotions, including anger, can lead to complications in the grieving process. It is essential to acknowledge and validate all the client's emotions.
Correct Answer is B
Explanation
A. Seat the client at a dining table with six or more residents:
People with Alzheimer's disease often experience sensory overload in crowded and noisy environments. Large dining tables with multiple residents can be overwhelming for someone with Alzheimer's, leading to increased confusion and discomfort. It's more beneficial to seat them in a smaller, quieter setting to reduce stress and promote a more relaxed dining experience.
B. Use symbols to assist the client in locating rooms:
Individuals with Alzheimer's disease frequently have difficulties with memory and orientation. Using symbols or visual cues can aid them in understanding and remembering locations, reducing confusion and promoting independent movement within the facility or home.
C. Provide the client with several choices for meal selection:
While offering choices is generally a good practice, individuals with Alzheimer's disease may find it challenging to process too many options. Providing limited, clear choices can help prevent decision-making difficulties and reduce frustration. Too many choices can overwhelm them, leading to indecision and potential agitation.
D. Give complete directions before starting client care:
Providing complete and lengthy directions can overwhelm individuals with Alzheimer's disease. They may have difficulty processing complex instructions due to cognitive impairment. It's more effective to give simple, step-by-step directions and provide assistance as needed. Additionally, using gentle reminders and cues can support their understanding and cooperation without overwhelming them with too much information at once.
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