Examkin

Soru

Zorluk: ZorClient Rights and Advocacy

An older adult client is admitted with multiple unexplained bruises in various stages of healing. The client lives at home with an adult child. During morning care, the client becomes tearful and whispers to the practical nurse (PN), "Please do not tell anyone, but my child gets angry and hits me. If you report this, they will force me into a nursing facility." Which of the following is the most appropriate advocacy and legal action for the PN to take?

  1. Acknowledge the client's fear, explain the legal obligation to report suspected abuse, and immediately notify the nursing supervisor.Cevap
  2. B
    Honor the client's request for confidentiality to maintain the therapeutic relationship, and wait for concrete proof of ongoing abuse before reporting.
  3. C
    Perform a comprehensive psychosocial assessment of the family dynamics and independently formulate a safe discharge plan for the client.
  4. D
    Promise the client that they will never be placed in a nursing facility and ask why the adult child becomes aggressive.

Cevap

Acknowledge the client's fear, explain the legal obligation to report suspected abuse, and immediately notify the nursing supervisor.
Practical nurses are legally mandated reporters. When elder abuse is suspected or disclosed, the nurse must report it to the appropriate authorities or nursing supervisor immediately. While the nurse should be empathetic to the client's fears, the legal obligation to protect the vulnerable client overrides the client's request for confidentiality.

Adım Adım Çözüm

1
Analyze the client's statement and physical findings.
The client has unexplained bruises and directly discloses physical abuse by their adult child.
Identifying signs and disclosures of abuse is the first step in recognizing a mandated reporting situation.
2
Evaluate the conflict between client confidentiality and legal requirements.
The legal mandate to report suspected elder abuse overrides the client's request for confidentiality.
Healthcare professionals cannot keep abuse a secret, as the safety and legal protection of vulnerable adults take precedence.
3
Determine the appropriate scope of practice and communication strategy for the PN.
The PN must report the suspicion to the supervisor or authorities while using therapeutic communication to explain this duty to the client.
The PN should not independently assess family dynamics or offer false reassurance, but must fulfill their legal duty to report.

Anahtar Kavram

Mandated Reporting and Client Rights
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Konular

Client Rights and Advocacy

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