Nursing 420 - Principles of Leadership and Management » Spring 2024 » Week 2 Video Case Ch. 6 Patient Advocacy - Suspicion of Abuse
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Question #1
A 94-year-old patient with end-stage renal disease is refusing to take any prescribed medications, saying, 'They make me feel sick, and I want to enjoy the rest of my short life.' Which of the following responses by the nurse is best?
A.
The doctor would not have ordered the medications if you didn't need them.
B.
I will have to notify your family.
C.
You can certainly decide not to take these medications, but first I want to make sure you know why they were prescribed.
D.
I will call the doctor to ask for a different medication, like a shot.
Question #2
During a home visit to a family of three—a mother, father, and child—the mother shares with the community health nurse that the father (who is not present) has hit the child on several occasions when he was drinking. The mother further explains that she has talked her husband into attending Alcoholics Anonymous and asks the nurse not to interfere, so her husband won't get angry and refuse treatment. What is the best response by the nurse?
A.
The nurse commends the mother's efforts and also contacts Child Protective Services.
B.
The nurse makes plans to meet with the father to address these allegations with him.
C.
The nurse agrees not to interfere if the husband attends an Alcoholics Anonymous meeting that evening.
D.
The nurse commends the mother's efforts and agrees to let her handle things.
Question #3
When discussing the role of mandated reporting for suspected child abuse, the student nurse understands that not reporting suspected abuse could result in which legal action?
A.
Joint liability
B.
Intentional tort
C.
Professional negligence
D.
Defamation
Question #4
As a new graduate nurse is transitioning into her first pediatric nursing job, which statement suggests that this new nurse needs additional training, as identified by her preceptor and nurse manager?
A.
I am glad to know that we receive ongoing training about what to do when we suspect some sort of abuse. This is all so new to me!
B.
I'd like to watch some videos and maybe attend some classes on advanced physical assessment. I'm not sure I could detect potential abuse when assessing patients.
C.
Could I spend some time with the CPS caseworker so I understand their role in our unit?
D.
I'm so glad we have a CPS case worker in our hospital to deal with all this. I could never do that job!
Question #5
Staff development activities on a nursing unit occur for a variety of reasons, including to establish or improve competence in an area, or to provide annual training for mandatory competencies. Which topics would be covered in an annual in-service of the mandatory child abuse reporting process for all nursing staff?
A.
Review and discussion of recent journal articles on child abuse detection and prevention.
B.
Review of the state statute on mandatory child abuse reporting.
C.
All of these
D.
None of these
E.
Discussion of actual case studies of child abuse to review obvious and concealed circumstances.
F.
Demonstration of the electronic Child Protective Services (CPS) form that must be completed by a CPS staff member on every report made.
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