While making a home visit, a community health nurse sees evidence that the child of a patient has been abused. What rationale should be the basis for the nurse's nursing action?

a. Privileged patient communication prevents the nurse from reporting the abuse.
b. Documenting the evidence in the medical record supports the observation.
c. A federal ruling requires that the nurse report the suspected abuse.
d. A signed patient release is needed before action can be taken.


C
Nurses are mandated reporters of suspected child abuse. To report or not is not discretionary.

Nursing

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A nurse is taking the history of a client and suspects that the client has been sexually abused. Which question will prompt a response that will aid the nurse in making an accurate assessment?

1. "Do you like to dress in provocative outfits?" 2. "Has anyone touched you in a way that made you feel uneasy or uncomfortable?" 3. "Do you have any bruises anywhere on your body?" 4. "How is your relationship with your parents and older siblings?"

Nursing

One important psychological consequence of obesity is what?

a. Apathy b. Body image disturbance c. Insomnia d. Sleep apnea

Nursing

A 6-month-old infant is brought to the ED by his parents for inconsolable crying and pulling at his right ear. When assessing this infant, the advanced practice nurse is aware that the tympanic membrane should be what color in a healthy ear?

A) Yellowish-white B) Pink C) Gray D) Bluish-white

Nursing

The amount of thiamine that the body needs is related to

a. dietary intake of protein. b. exposure of the skin to sunlight. c. the amount of energy expended. d. physiologic and emotional stress.

Nursing