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.

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Free Nursing Study Resources

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"},"G":{"answers":"A"},"H":{"answers":"B"}}

Explanation

a. Methadone 40 mg PO daily: This is contraindicated. Methadone is primarily used for opioid withdrawal and maintenance, not for alcohol withdrawal.

b. Nutritional consult: This is anticipated. Nutritional therapy can help balance out the loss of nutrients due to heavy drinking.

c. Perform Alcohol Use Disorders Identification Test (AUDIT): This is contraindicated. AUDIT is a screening tool for assessing alcohol consumption and related problems, but it’s not typically used once a diagnosis of alcohol use disorder has been established and the patient is in withdrawal.

d. Complete blood count and basic metabolic profile: This is anticipated. These tests can help assess the patient’s overall health status and identify any potential complications related to alcohol withdrawal67.

e. Group therapy: This is anticipated. Group therapy can provide peer support and is often beneficial in the treatment of alcohol use disorder.

f. Schedule electroconvulsive therapy (ECT): This is contraindicated. ECT is typically used for severe depression and other psychiatric disorders, not for alcohol withdrawal.

g. Diazepam 10 mg PO three times a day: This is anticipated. Diazepam, a benzodiazepine, is commonly used in the management of alcohol withdrawal to reduce symptoms and prevent complications.

h. Propranolol 40 mg PO twice a day: This is contraindicated. Propranolol, a beta-blocker, is not typically used as a first-line treatment for alcohol withdrawal. It may be used to manage some symptoms such as tremors or high blood pressure, but it does not prevent seizures, a potential complication of alcohol withdrawal.

A. Hallways are long distances. B. The bed is in the low position. C. The room has an area rug. D. Outside doors have locks.

Correct Answer is C

Explanation

Choice A reason:
Long hallways can be challenging for clients with dementia due to potential confusion and disorientation. However, they do not pose a direct physical risk. Long distances might require more supervision and assistance, but they are not inherently dangerous.

Choice B reason:
Having the bed in a low position is generally a safety measure to prevent falls. For clients with dementia, this can be beneficial as it reduces the risk of injury if they attempt to get out of bed unassisted. Therefore, this is not considered a risk factor.

Choice C reason:
An area rug in the room can be a significant tripping hazard for clients with dementia. Dementia can affect a person's gait and balance, making them more prone to falls. Loose or uneven rugs can easily cause trips and falls, leading to potential injuries. This is why the presence of an area rug is identified as a risk.

Choice D reason:
Having locks on outside doors is a safety measure to prevent clients with dementia from wandering off and getting lost. Wandering is a common behavior in dementia patients, and locks can help ensure their safety by keeping them within a secure environment. This is not considered a risk but rather a protective measure.

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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 alcohol withdrawal. Exhibits A nurse is planning care for a client who has alcohol use disorder. For each potential provider’s prescription, specify if the potential prescription is anticipated or contraindicated for the client.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"},"G":{"answers":"A"},"H":{"answers":"B"}}

Explanation

A nurse in a long-term care facility is assessing a client who has dementia. Which of the following findings should the nurse identify as a risk for this client?

Correct Answer is C

Explanation

A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the 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 whose partner died 6 months ago. Which of the following findings is the nurse's priority?

A nurse is caring for a client who has physical restraints applied. The nurse determines that the restraints should be removed when which of the following occurs?

A nurse in an emergency department is assessing a client who reports recently using cocaine. Which of the following clinical manifestations should the nurse expect?

A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure. The client informs the nurse that they do not want to have the procedure. Which of the following actions should the nurse take?

The nurse is continuing to care for the patient in the emergency department. Exhibits Which findings should the nurse identify as potential complications of the client’s diagnostic results? Select all that apply.

A nurse is planning care for a client who has borderline personality disorder. Which of the following interventions should the nurse plan to include to assist the client with impaired social interactions with others?