Examkin

Soru

Zorluk: ZorAbuse or Neglect

A practical nurse is assisting with the admission of a 42-year-old client with a severe intellectual disability to a medical-surgical unit. During the initial data collection, the nurse notes unexplained, fading contusions on the client's bilateral upper arms and significant neglect of personal hygiene. Which of the following actions by the practical nurse are appropriate? (Select all that apply.)

  1. Interviewing the client privately without the caregiver present in the roomCevap
  2. B
    Delaying the notification to adult protective services until gathering definitive proof
  3. Documenting the objective physical characteristics of the contusionsCevap
  4. D
    Asking the caregiver, "Why are you not bathing the client more frequently?"
  5. Reporting the suspected abuse immediately to the supervising registered nurseCevap
  6. F
    Assigning the unlicensed assistive personnel to ask the client how the injuries happened

Cevap

The appropriate actions are to interview the client privately, document the objective characteristics of the injuries, and report the suspected abuse immediately to the supervising nurse.
Appropriate management of suspected abuse prioritizes client safety and legal obligations. Interviewing the client privately removes the potential for caregiver intimidation. Documenting the objective characteristics of the physical injuries preserves vital evidence in the medical record. Finally, escalating the findings to the supervising registered nurse ensures that mandated reporting protocols are initiated immediately.

Adım Adım Çözüm

1
Identify the vulnerable client population and recognize the potential indicators of abuse and neglect.
The nurse identifies that the client has an intellectual disability, unexplained contusions, and poor hygiene.
Recognizing signs of abuse is the first step in ensuring client safety.
2
Establish a safe environment for further data collection.
The nurse plans to interview the client in a private setting away from the caregiver.
Separation prevents caregiver intimidation and allows the client to speak freely.
3
Ensure precise, objective documentation of the findings.
The nurse documents the location, size, and color of the fading contusions.
Accurate medical records are critical for subsequent agency investigations.
4
Escalate the findings according to mandated reporting laws and facility policy.
The nurse immediately reports the suspicion to the supervising registered nurse.
Nurses have a legal duty to report suspected abuse; waiting for definitive proof is not required and endangers the client.

Anahtar Kavram

Mandated Reporting and Safety Interventions for Suspected Abuse
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Konular

Abuse or Neglect

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