The nurse is considering making a child abuse or neglect report to protective services. To make the report, the nurse needs to:

1. Obtain the supervisor's permission to make the report
2. Have strong evidence that the abuse/neglect has occurred
3. Notify the parents of the intent to file the report
4. Have suspicions that the abuse has occurred


ANS: 4
Suspicions are all that are required by state mandatory child abuse and neglect reporting laws. The agency bears the burden of collecting evidence. 1. As a mandated reporter, the nurse does not need anyone's permission to make the report. 2. Only a suspicion is required. 3. Parent noti-fication is unnecessary.

Nursing

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The nurse observes clients ambulating on the rehabilitation unit. Which is the most important action for the nurse to take?

1. Adjust height of crutches 5 inches below the axilla for client with crutches. 2. Prepare an incident report about client who advances walker 2 inches each time. 3. Instruct client who should not bear weight on left leg to use crutches as directed. 4. Follow client who ambulates by holding onto hallway handrails with wheelchair.

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The situation in which the nurse's primary role can be assessed as advocacy is

a. treating the self-inflicted injuries of psychiatric clients. b. providing preventive counseling regarding violence. c. providing care to the family of a suicide victim. d. participating in consumer mental health groups to destigmatize mental illness.

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Which safety device is most appropriate for the nurse who conducts home care visits to postpartum mothers?

1. Cellular phone 2. Map of the area 3. Personal handgun 4. Can of Mace

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Documenting food acceptance is an estimation that does not have to be accurate.

Answer the following statement true (T) or false (F)

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