*NURSING > HESI > HESI MENTAL 6 Test Preparation Questions & Answers with Rationale 2019/2020 Graded A (All)
HESI MENTAL 6 Test Preparation Questions & Answers with Rationale 2019/2020 1. A nurse working in the emergency department of a children's hospital admits a child whose injuries could have been the... result of abuse. Which statement most accurately describes the nurse's responsibility in cases of suspected child abuse? A. Obtain objective data such as radiographs before reporting suspicions. B. Confirm suspicions of abuse with the healthcare provider. C. Report any case of suspected child abuse. D. Document injuries to confirm suspected abuse. Rationale: It is the nurse's legal responsibility to report all suspected cases of child abuse (C), and notifying the nurse manager or charge nurse starts the legal reporting process. (A, B, and D) delay the first step in reporting the abuse. 2. An 8-year-old child is seen in the clinic with a green vaginal discharge. What action is most important for the nurse to implement? A. Assess the child's blood pressure. B. Counsel the child to wear cotton underwear. C. Report as suspected child abuse. D. Determine if the child takes bubble baths. Rationale: A green vaginal discharge is indicative of gonorrhea, a sexually transmitted disease. Since the child is 8 years old, the nurse should suspect child abuse and report the incident to the proper authorities (C). (A) is usually not related to infection. (B and D) are helpful in preventing bladder infections, but a green vaginal discharge is not a symptom of a bladder infection. 3. On admission, a highly anxious client is described as delusional. The nurse understands that delusions are most likely to occur with which disorder? [Show More]
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