While making a home visit, a community health nurse sees evidence ...

[futuristic]

While making a home visit, a community health nurse sees evidence that the child of a patient has been abused. What rationale should be the basis for the nurse's nursing action?
 
  a. Privileged patient communication prevents the nurse from reporting the abuse.
  b. Documenting the evidence in the medical record supports the observation.
  c. A federal ruling requires that the nurse report the suspected abuse.
  d. A signed patient release is needed before action can be taken.

Question 2

Recent studies suggest that clients with a diagnosis of bipolar illness, formerly called manic-depressive illness, will:
 
  a. rarely contemplate the idea of suicide during their lifetime
  b. think about suicide, but not carry out any of their suicidal ideas
  c. attempt suicide sometime during their lives at a rate between 25 and 50
  d. have a lower rate of suicide than clients with any other psychiatric diagnosis

[af]

Answer to Question 1

C
Nurses are mandated reporters of suspected child abuse. To report or not is not discretionary.

Answer to Question 2

C
Recent studies suggest that clients with a diagnosis of bipolar illness attempt suicide sometime during their lives at a rate between 25 and 50. These rates tend to be higher for women than for men. A current report indicates that 1 in 100 persons with bipolar disorder will make a suicide attempt and 3 in 1,000 people with bipolar disorder will die through suicide annually, making their rate 20 times higher than that of the general population. Several studies suggest that persons with bipolar I disorder combined with hypomania are at higher risk for suicide attempt than are persons with bipolar I disorder.

[futuristic]

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[carojassy25]

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