A nurse is assessing a middle-aged client admitted for a wrist fracture. During the examination, the client winces when their wrist is touched and hesitates when asked how the injury occurred, providing vague and inconsistent explanations. What is the best initial action the nurse should take to address this situation?
Ask the client to provide a more detailed and consistent explanation about the cause of the injury.
Document the findings and report suspected abuse to the appropriate authorities.
Focus on stabilizing the wrist injury and avoid pushing the client for more details at this time.
Tell the client they are safe and recommend discussing the situation with a counselor after discharge.
The correct answer is to document the findings and report suspected abuse to the appropriate authorities. Nurses are mandated reporters and must act to protect client safety by escalating any concerns about abuse. Proper documentation ensures a clear record for legal and investigative purposes, while reporting initiates the process to safeguard the client.
Other answers, such as probing for more detailed explanations, may inadvertently compromise the investigation or cause further distress to the client. Offering reassurances or delaying action overlooks the priority of client safety and does not fulfill the nurse’s legal obligation to report suspected abuse.
Ask Bash
Bash is our AI bot, trained to help you pass your exam. AI Generated Content may display inaccurate information, always double-check anything important.
What does it mean to be a mandated reporter?
Open an interactive chat with Bash
Why is it important to document findings clearly in suspected abuse cases?
Open an interactive chat with Bash
How can asking too many questions potentially compromise an investigation into suspected abuse?
Open an interactive chat with Bash
NCLEX RN
Psychosocial Integrity
Your Score:
Report Issue
Bash, the Crucial Exams Chat Bot
AI Bot
Loading...
Loading...
Loading...
Pass with Confidence.
Nursing and Medical Assistants Package
You have hit the limits of our free tier, become a Premium Member today for unlimited access.
Military, Healthcare worker, Gov. employee or Teacher? See if you qualify for a Community Discount.
Monthly
$9.99
$9.99/mo
Billed monthly, Cancel any time.
3 Month Pass
$14.99
$4.99/mo
One time purchase of $14.99, Does not auto-renew.
BEST DEAL
Lifetime Pass
$29.99
One time purchase, Good for life.
What You Get
All Nursing and Medical Assistants Package plans include the following perks and exams .