A nurse manager is reviewing the admission history of four adults who were admitted to the medical-surgical unit during the shift. Which of the following situations is the nurse required to disclose information to an outside agency about the client or the client's circumstances?

A young adult client admitted for acute glomerulonephritis following a viral infection

A dependent adult admitted for the treatment of a spiral fracture

A young adult client admitted for asthma and has track marks that may indicate IV drug abuse

An emancipated minor who has acute appendicitis and wants to leave the facility without treatment

Answer and Explanation

The Correct Answer is B

Rationale:

A. A young adult client admitted for acute glomerulonephritis following a viral infection does not indicate a mandatory report situation.

B. A dependent adult admitted for the treatment of a spiral fracture suggests potential abuse or neglect. As mandated reporters, nurses are required to report suspicions of abuse or neglect to the appropriate authorities.

C. A young adult client admitted for asthma and has track marks that may indicate IV drug abuse does not necessarily require mandatory reporting unless there is evidence of abuse or harm that needs to be reported.

D. An emancipated minor who has acute appendicitis and wants to leave the facility without treatment may raise concerns about the minor's capacity to make decisions, but it does not automatically necessitate reporting to an outside agency.

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Correct Answer is D

Explanation

Rationale:

A. A staff nurse typically does not function as the incident commander; this role is usually filled by someone with a leadership or administrative position in disaster planning.

B. An actual disaster cannot replace a drill because drills are designed to prepare staff for specific scenarios and ensure readiness.

C. A physician is not required to triage victims; this task can be performed by trained triage nurses or other designated personnel.

D. Regular disaster drills are essential for ensuring preparedness and assessing the effectiveness of disaster response plans.

A. Tell other nurses what an effective team member the AP is. B. Detail the AP's contributions to the nurse manager. C. Nominate the AP for the Employee of the Month award. D. Give positive feedback directly to the AP.

Correct Answer is D

Explanation

Rationale:

A. Telling other nurses is useful for team morale but does not directly recognize the AP.

B. Detailing contributions to the manager is valuable but can be done after initial direct recognition.

C. Nominating for an award is an excellent formal recognition but should follow immediate feedback.

D. Giving direct positive feedback immediately acknowledges the AP’s efforts and encourages continued good performance.

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A nurse manager is reviewing the admission history of four adults who were admitted to the medical-surgical unit during the shift. Which of the following situations is the nurse required to disclose information to an outside agency about the client or the client's circumstances?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a group of newly hired nurses about the requirements for disaster planning. Which of the following statements by one of the newly hired nurses indicates an understanding of the teaching?

Correct Answer is D

Explanation

A charge nurse is working with an assistive personnel (AP) who provides excellent care to clients and is an effective team member. Which of the following actions should the nurse take first to recognize the AP's contributions to client care?

Correct Answer is D

Explanation

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