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Zorluk: OrtaClient Rights and Advocacy

An older adult client is admitted to the medical-surgical unit from their home, where they reside with a primary family caregiver. During routine hygiene care, the practical nurse discovers bilateral wrist abrasions and patterned contusions on the client's torso in various stages of healing. When asked about the marks, the client avoids eye contact and remains completely silent. Which action is the priority for the practical nurse?

  1. Report the assessment findings immediately to the nursing supervisor and the designated protective services agency.Cevap
  2. B
    Document the size and location of the bruises and observe the client for new injuries over the next several days.
  3. C
    Approach the family caregiver in the unit waiting room to inquire about the cause of the client's skin injuries.
  4. D
    Tell the client they are in a safe environment and ask why they are hesitant to share what happened at home.

Cevap

The practical nurse must immediately report the suspected abuse to the nursing supervisor and the appropriate protective agency.
Nurses serve as essential client advocates and are legally mandated reporters of suspected abuse or neglect. Patterned bruising, wrist abrasions, and a withdrawn demeanor in an older adult are critical red flags for potential elder abuse. The practical nurse is required to immediately report these suspicions to the facility leadership and the appropriate state protective agency to secure the client's safety. Concrete proof is not required to fulfill this legal and ethical obligation.

Adım Adım Çözüm

1
Analyze the client's physical findings and behavioral cues.
The patterned contusions, bilateral wrist abrasions, and evasive behavior strongly suggest physical abuse or non-accidental trauma.
Identifying signs of abuse is the first step in fulfilling the nurse's role in client advocacy and protection.
2
Determine the legal and ethical responsibility of the practical nurse.
Nurses are mandated reporters of suspected abuse for vulnerable populations, including older adults.
The law requires reporting based on reasonable suspicion, without needing concrete proof or waiting for further incidents to occur.
3
Select the priority intervention.
Reporting the findings to facility leadership and state protective services is the immediate priority.
This action officially initiates the process to ensure the client's ongoing physical safety and protects their legal rights.

Anahtar Kavram

Mandated Reporting and Client Advocacy
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Konular

Client Rights and Advocacy

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