A nurse is caring for an older adult client who states, "I can't pay for my care because my kid took all my money." Which of the following actions should the nurse take?
Instruct the client to report the theft to the police.
Report the possible abuse to adult protective services.
Ask the client if there is another family member they can call for financial help.
Restrict visitation for the client's family until discharge.
The Correct Answer is B
A. Instructing the client to report the theft to the police might be appropriate in cases of theft, but the nurse's primary responsibility is to ensure the safety and well-being of the client. Reporting
to the authorities can be pursued after ensuring the client's immediate safety.
B. Reporting the possible abuse to adult protective services is the appropriate action when financial exploitation or abuse is suspected. Adult protective services can investigate the situation and provide support and resources to ensure the client's safety.
C. Asking the client if there is another family member they can call for financial help is a valid consideration, but it does not address the potential abuse or exploitation of the client's finances.
D. Restricting visitation for the client's family until discharge is not appropriate without further assessment and intervention. It may also isolate the client from potential sources of support and assistance.
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Related Questions
Correct Answer is D
Explanation
A. Anger is characterized by feelings of hostility and frustration, which may arise as the client acknowledges the reality of their situation.
B. Depression involves feelings of sadness, hopelessness, and despair, often occurring as the client comes to terms with the impending loss or changes associated with their condition.
C. Acceptance involves acknowledging and coming to terms with the reality of the situation without resistance or denial.
D. Denial is a defense mechanism where the client refuses to acknowledge the reality of their situation, such as the need for a lengthy recovery period after open heart surgery. The client's statement reflects denial, as they are minimizing the seriousness of the surgery and its impact on their recovery.
Correct Answer is A
Explanation
A. The initial DTaP vaccine is typically administered to infants at 2 months of age as part of the routine childhood vaccination schedule recommended by the Centers for Disease Control and Prevention (CDC) and the American Academy of Pediatrics (AAP). This vaccine is crucial for protecting infants against diphtheria, tetanus, and pertussis.
B. While DTaP vaccination is important, it is usually administered at 2, 4, and 6 months of age, with booster doses given later in childhood. Therefore, a 4-month-old infant would have already received the initial dose by this time.
C. Similarly, a 6-month-old infant would have already received the initial dose of the DTaP vaccine at 2 months of age, as part of the recommended vaccination schedule.
D. By 15 months of age, the child would have completed the primary series of DTaP vaccination and would be due for a booster dose rather than the initial vaccine.
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