The nurse is working in a free clinic, and caring for a homeless ...

[joblessjake]

The nurse is working in a free clinic, and caring for a homeless client diagnosed with paranoid schizophrenia. The client reports, I hurt my foot running away from them. It hurts so bad I can hardly walk now.
 
   On assessment, the nurse notices bruising on the client's back, arms, and thighs, a red rash on her neck and face, and poor personal hygiene, in addition to edema of the left ankle. Which of the following pose a risk to this client? a. Physical abuse and assault
  b. Drug addiction relating to pain
  c. Communicable immune disorders
  d. Hospitalization due to a mental disorder

Question 2

Conjoined twins are in the neonatal department of the community hospital until transfer to the closest medical center. A photographer from the local newspaper gets off the elevator on the neonatal floor and wants to take pictures of the infants.
 
  What initial action should the nurse take? a. Escort the cameraman to the neonatal unit while a few pictures are taken quietly.
  b. Tell the cameraman where the hospital's public relations department is located.
  c. Ask the cameraman to wait while permission is obtained from the physician.
  d. Ask the cameraman how the pictures are to be used in the local newspaper.

[emilymalinowski12]

Answer to Question 1

A
When a client has a severe mental illness, multiple health and socioeconomic challenges must be explored. Many such clients are homeless or marginally housed. The client's report of needing to run away from others requires further assessment in order to rule out physical abuse or assault.
Drug addiction may be a consideration, even though the client is not drug-seeking.
Communicable disease is a risk factor. However, this is not the best available option, since several factors relate to abuse or assault.
Hospitalization may be required for medical treatment, but there is no indication that this client requires hospitalization for psychiatric crisis.

Answer to Question 2

B
In some cases, information about a scientific discovery or a major medical breakthrough or an unusual situation is newsworthy. In this case, anyone seeking information needs to contact the hospital's public relations department to ensure that invasion of privacy does not occur. It is not the nurse's responsibility to decide independently the legality of disclosing information. The nurse does not have the right to allow the cameraman access to the neonatal unit. This would constitute invasion of privacy. The physician has no responsibility regarding this situation and cannot allow the cameraman on the unit. It is not the nurse's responsibility to find out how the pictures are to be used. This is a task for the public relations department.