If a nurse suspects child abuse or neglect, his/her role is:

1. To maintain patient safety as well as notify social work and authorities immediately.
2. To notify the patient's physician, who will address any issues.
3. No action is needed if these concerns are not the reason for the patient's visit.
4. To confront the caregivers and tell them they are bad parents.


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1. The first task of a nurse is to ensure patient safety. Once that is addressed, it is law that the nurse must report any suspicion of abuse or neglect.
2. The physician will be notified, but the responsibility of reporting is not removed from the nurse.
3. Not reporting suspicion of abuse or neglect is criminal and negligent to patient safety.
4. Confronting the caregiver could place the nurse and the patient in danger. Maintain safety and let the proper authorities address the concerns with the caregivers.

Nursing

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The nurse is determining the number of annual influenza inoculations that will need to be provided to a group of community members. Which members would benefit from receiving this vaccination? (Select all that apply.)

A) Adult patient with chronic obstructive pulmonary disease B) Young adult patient who lives alone C) Adult patient caring for children under age 5 D) Older adult attending adult day care E) Adolescent patient being home schooled

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The nurse managers are discussing the health care organization's recent adoption of a zero-based budget. Which of the following statements is most closely associated with a zero-based budget?

1. "It doesn't take very long to do this type of budget." 2. "The most difficult part about this type of budget is trying to find strong rationale to keep something I've had for the last 3 years." 3. "It's nice to be able to adjust from the information I've used in the previous budget report." 4. "I can just focus on this department. I don't have to worry about coordinating my budget with any other manager."

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The preceptor has reviewed the correct technique to assess heart murmurs with a new nurse. Which statement made by the nurse indicates an understanding?

A. "I will listen for murmurs with the bell of the stethoscope." B. "A Doppler is the best instrument to use to listen for murmurs." C. "The diaphragm of the stethoscope should be used to listen for murmurs." D. "A stethoscope with long tubing will produce a better heart sound."

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