For which of the following clients is a nurse considered a mandated reporter to the appropriate agency?

A client who reports lying to their provider about having suicidal ideation.

A client who reports that they enjoy smoking marijuana on weekends.

A client who reports that they took $20 from the cash register where they work.

A client who reports that their partner ties their child to a bed as punishment.

Answer and Explanation

The Correct Answer is D

Choice A reason:
A client lying about suicidal ideation to their provider does not fall under mandatory reporting unless there is evidence or suspicion of harm to self or others. In this case, the client has reported lying, which indicates there is no actual suicidal ideation or intent.

Choice B reason:
While smoking marijuana may be illegal in some jurisdictions, it does not typically require mandatory reporting by a nurse unless it directly affects patient care or involves minors.

Choice C reason:
Theft from an employer is a legal issue but does not require mandatory reporting by a nurse unless it involves stealing medication or other actions that could harm patients.

Choice D reason:
This choice clearly involves child abuse, which is a reportable offense. Nurses are mandated reporters for any suspected child abuse or neglect. Tying a child to a bed as punishment can cause physical and emotional harm, and it is the nurse's duty to report this to the appropriate agency to ensure the child's safety.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason:
Providing teaching on the use of coping skills is an important part of helping a client manage a situational crisis. Coping skills can include stress management techniques, relaxation methods, and problem-solving strategies. These skills are vital for the client to regain a sense of control and begin the healing process. However, this is not the immediate action to take when a client is experiencing a crisis following a significant loss.

Choice B reason:
Assisting the client to identify a friend or a support system is beneficial for providing emotional support and reducing feelings of isolation. Social support is a key factor in improving outcomes for individuals in crisis. However, this step comes after ensuring the client's immediate safety and addressing any potential risks.

Choice C reason:
Planning regular follow-up visits is crucial for ongoing support and monitoring the client's progress. Follow-up visits provide opportunities for the nurse to reassess the client's condition, adjust the care plan as needed, and continue providing education and support. Nevertheless, this is a subsequent step after initial safety concerns are addressed.

Choice D reason:
The first and most critical action for a nurse caring for a client in a situational crisis, especially after the sudden loss of a child, is to determine if the client has thoughts of self-harm. A situational crisis can lead to overwhelming emotions, which may result in suicidal ideation or attempts. Ensuring the client's safety is the top priority, and immediate intervention is required if there is any indication of self-harm thoughts.

A. "I will stay in bed on days when I feel exhausted." B. "I will use the coping mechanisms that helped me in the past." C. "I will avoid talking about events that upset me." D. "I will rely on my partner to plan out my schedule each day."

Correct Answer is B

Explanation

Choice A reason:
Staying in bed on days when feeling exhausted may seem like a reasonable self-care behavior, especially for someone with major depressive disorder. However, excessive bed rest can actually exacerbate depressive symptoms. It's important to balance rest with activities that promote a sense of accomplishment and well-being.

Choice B reason:
Using coping mechanisms that have been helpful in the past is a sign of understanding self-care teachings. It shows the client is applying learned strategies to manage their symptoms and is taking an active role in their own care. This proactive approach is encouraged in managing major depressive disorder.

Choice C reason:
While it may be necessary to avoid certain triggers, consistently avoiding talking about upsetting events can lead to suppression of emotions, which is not a healthy coping strategy. It's important for individuals with depression to express their feelings and work through their emotions.

Choice D reason:
Relying on a partner to plan out one's schedule every day can create dependency and reduce the sense of personal control and autonomy. While support from loved ones is valuable, the individual should be encouraged to take responsibility for their own schedule as part of their self-care routine.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

For which of the following clients is a nurse considered a mandated reporter to the appropriate agency?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing a situational crisis following the sudden loss of their adolescent child. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

A nurse is providing teaching about self-care behaviors to a client who has major depressive disorder. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is caring for a client who has bulimia nervosa. Which of the following interventions should the nurse include in the client's plan of care?

A nurse is reviewing new prescriptions for a client who is experiencing acute manifestations of alcohol withdrawal. Which of the following medications should the nurse expect the provider to prescribe for this client?

A nurse is caring for a client who has just received a terminal cancer diagnosis from their provider. Which of the following actions should the nurse take?

A nurse is assessing the spiritual beliefs of a client. Which of the following client statements indicates spiritual distress?

A nurse is caring for a client who has schizophrenia and is experiencing a delusion. Which of the following actions should the nurse take?

A nurse in an acute care facility is planning care for a client with a history of alcohol use disorder who is admitted while intoxicated. Which of the following interventions should the nurse implement?

A nurse is providing discharge teaching about the manifestations of relapse to the family of a client who has schizophrenia. Which of the following information should the nurse include in the teaching?

A nurse is conducting an admission interview with a client who is experiencing mania. Which of the following findings should the nurse report to the provider?