A patient in alcohol rehabilitation reveals to the nurse, "I feel terrible guilt for sexually abusing my 6-year-old before I was admitted." Select the nurse's most important action

a. Anonymously report the abuse by phone to the local child protection agency.
b. Reply, "I'm glad you feel comfortable talking to me about it."
c. Respect nurse-patient relationship confidentiality.
d. File a written report on agency letterhead.


A
Laws regarding child abuse reporting discovered by a professional during the suspected abuser's alcohol or drug treatment differ by state. Federal law supersedes state law and prohibits disclosure without a court order except in instances in which the report can be made anonymously or without identifying the abuser as a patient in an alcohol or drug treatment facility.

Nursing

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A nurse cares for a client with a new ileostomy. The client states, "I don't think my friends will accept me with this ostomy." How should the nurse respond?

a. "Your friends will be happy that you are alive." b. "Tell me more about your concerns." c. "A therapist can help you resolve your concerns." d. "With time you will accept your new body."

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Janice is being transported after a fall from a horse. The physician suspects a spinal injury. Which piece of equipment must be in place prior to transport?

A) Cervical collar B) Splint C) Cast D) Halo

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The amount of water that is eliminated with the urine is regulated by a complex mechanism within the nephron and influenced by a hormone from the posterior pituitary gland called

a. pitocin. b. rennin hormone. c. antidiuretic hormone. d. ACTH.

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A small child has had vomiting and diarrhea for more than 12 hours, unrelieved by the medication prescribed by a pediatrician earlier in the day. The child is listless but awake and refuses anything offered by mouth; vital signs are normal

In which of these triage categories would the child be placed? a. emergent c. nonurgent b. priority d. urgent

Nursing