Nokea
The nurse is considering making a child abuse or neglect report to protective services. To make the report, the nurse needs to:
- A. Obtain the supervisor's permission to make the report
- B. Have strong evidence that the abuse/neglect has occurred
- C. Notify the parents of the intent to file the report
- D. Have suspicions that the abuse has occurred
Correct Answer: D
Rationale: The correct answer is D because mandatory reporting laws typically require healthcare professionals to report suspected cases of child abuse or neglect. Having suspicions that abuse has occurred is sufficient to make a report, as it is the responsibility of the healthcare provider to protect the child's safety. Obtaining the supervisor's permission (choice A) may delay the report unnecessarily. Having strong evidence (choice B) is not necessary for making a report, as suspicions should be reported for further investigation. Notifying the parents (choice C) may jeopardize the safety of the child if the abuser is aware of the report.
You may also like to solve these questions
Features of schizoid personality include.
- A. Hyper-vigilant ready for real or imagines threat
- B. Inability to respond to others, hyper-vigilant
- C. Social withdrawal, inability to respond to others
- D. Ready for real or imagined threat, social withdrawal
Correct Answer: C
Rationale: Schizoid personality disorder is characterized by social withdrawal and emotional detachment, with little interest in relationships.
A patient who is admitted to the psychiatric unit with a diagnosis of obsessive-compulsive disorder spends a significant amount of time during the day and night washing their hands. On the third hospital day, the patient reports feeling better and more comfortable with the staff and other patients. The psychiatric-mental health nurse knows that the most appropriate nursing intervention is to:
- A. acknowledge the ritualistic behavior each time and point out that it is inappropriate
- B. allow the patient to carry out the ritualistic behavior, since it is helping them
- C. collaborate with the patient to reduce the amount of time they engage in ritualistic behavior
- D. ignore the ritualistic behaviors, and the behaviors will be eliminated due to lack of reinforcement
Correct Answer: C
Rationale: Collaborating to reduce rituals builds on the patient's progress, promoting control without enabling the behavior.
A patient is hospitalized for severe depression. Of the medications listed below, the nurse can expect to provide the patient with teaching about:
- A. Chlordiazepoxide (Librium).
- B. Clozapine (Clozaril).
- C. Sertraline (Zoloft).
- D. Tacrine (Cognex).
Correct Answer: C
Rationale: Rationale:
1. Severe depression is typically treated with antidepressants like Sertraline (Zoloft).
2. Sertraline is a selective serotonin reuptake inhibitor (SSRI) commonly used to treat depression.
3. The nurse should provide teaching on how to take the medication, potential side effects, and monitoring for effectiveness.
4. Other choices (A, B, D) are not typically used as first-line treatment for severe depression and may not be appropriate for this patient.
A nurse is educating a patient with anorexia nervosa about nutrition. What should the nurse focus on?
- A. Encouraging rapid weight gain through a high-calorie diet.
- B. Promoting gradual weight gain and nutritional rehabilitation.
- C. Providing a low-calorie diet to maintain a healthy weight.
- D. Focusing on weight maintenance without discussing food intake.
Correct Answer: B
Rationale: The correct answer is B because promoting gradual weight gain and nutritional rehabilitation is essential in treating anorexia nervosa. Rapid weight gain can lead to medical complications and mental distress. Providing a low-calorie diet (C) contradicts the goal of weight gain. Focusing on weight maintenance without discussing food intake (D) neglects the importance of nutrition in recovery.
A person who was raped comes to the hospital for treatment. The person abruptly decides to decline treatment and leave the facility. Before this person leaves, the nurse should:
- A. Say, "You may not leave until you're given prophylactic treatment for sexually transmitted diseases."Â
- B. Provide written information about physical and emotional reactions the person may experience.
- C. Explain the need and importance of HIV and pregnancy tests.
- D. Give verbal information about legal resources.
Correct Answer: B
Rationale: The correct answer is B because providing written information about physical and emotional reactions respects the individual's autonomy and empowers them to make informed decisions. It also ensures they have resources to understand and cope with potential consequences. Choice A violates the individual's right to refuse treatment. Choice C focuses on specific tests without addressing the person's immediate concerns. Choice D, while important, is not as immediate or relevant as providing information on potential reactions.