Examkin

Soru

Zorluk: ZorLegal and Ethical Practice

While providing hygiene care for an alert and oriented older adult client in an inpatient rehabilitation center, a practical nurse (PN) notices several fading and fresh contusions on the client's back. The client begins to cry and whispers, "My son loses his temper and strikes me, but you must promise to keep this a secret. I cannot bear to see him arrested." Which of the following responses or actions by the PN are legally and ethically required? Select all that apply.

  1. Documenting the objective characteristics of the bruising and the client's direct quotes accurately in the medical record.Cevap
  2. B
    Seeking informal advice by discussing the client's statements with a visiting family member of another client who works in law enforcement.
  3. Notifying the nursing supervisor and the designated state adult protective services agency regarding the suspected abuse.Cevap
  4. D
    Postponing the mandated report until concrete physical evidence or a recorded admission of guilt from the son can be secured.
  5. Explaining gently to the client that healthcare professionals have a strict legal obligation to report suspected abuse of vulnerable adults.Cevap
  6. F
    Developing the initial comprehensive psychosocial plan of care to address the client's emotional trauma and immediate safety needs.

Cevap

The correct actions include documenting objective findings and direct quotes, notifying the nursing supervisor and protective services, and explaining the legal mandate to report abuse to the client.
The correct actions prioritize the safety of a vulnerable adult while strictly adhering to legal mandates and the practical nursing scope of practice. Practical nurses are mandated reporters and must immediately escalate suspicions of abuse to supervisors and protective agencies. They must document the physical findings and client quotes objectively, and they must maintain therapeutic honesty by informing the client of their legal obligation to report, rather than making false promises of secrecy.

Adım Adım Çözüm

1
Analyze the legal mandates surrounding elder abuse.
Recognize that nurses are mandatory reporters of suspected abuse for vulnerable populations, including older adults, regardless of the client's request for secrecy.
State laws require immediate reporting of suspected abuse to protect vulnerable individuals from further harm.
2
Evaluate the ethical principle of confidentiality against mandatory reporting.
Determine that while confidentiality is a core ethical principle, the legal duty to protect a vulnerable adult from active harm overrides the request to keep the abuse a secret.
Ethical guidelines stipulate that confidentiality must be breached when there is a clear, legal mandate to report abuse or prevent imminent danger.
3
Assess the appropriate scope of practice for a practical nurse (PN) in this scenario.
Identify that the PN must document findings, communicate with the charge nurse, and inform the client, but cannot perform the initial comprehensive psychosocial assessment.
The PN scope of practice involves data collection and reporting, whereas initial comprehensive assessments and care plan formulation are the responsibility of the RN.

Anahtar Kavram

Mandatory Reporting of Elder Abuse and PN Scope of Practice
Tahmini Süre:1m 30s
Bu soruyu puanla

Konular

Legal and Ethical Practice

Bu konudan daha fazla soru