This topic contains a solution. Click here to go to the answer

Author Question: A nurse who has been a longtime employee of a hospital, providing bedside care to clients, was ... (Read 54 times)

armygirl

  • Hero Member
  • *****
  • Posts: 556
A nurse who has been a longtime employee of a hospital, providing bedside care to clients, was seriously injured and is paralyzed from the shoulders down, with limited use of the upper arms.
 
  Through rehabilitation, the nurse is able to mobilize with a wheelchair and has no cognitive or psychological deficits. The nurse wants to return to the same position held prior to the injury. Under the guidelines of the ADA, the hospital:
  1. Is required to accommodate the nurse.
  2. Must find another job for the nurse.
  3. Could claim undue hardship to accommodate this nurse.
  4. Will have to terminate the nurse's employment.

Question 2

A nurse is caring for a client in the emergency department who was brought in by her adult child for vague, flu-like symptoms. While helping the client to change into a gown, the nurse notices numerous bruises on the client's back and arms.
 
  When questioned, the client is distracted and ambiguous with her answers. The nurse should:
  1. Report the situation to law enforcement.
  2. Report the situation to social services.
  3. Question the adult child who brought the client to the ED.
  4. File a written report in the client's chart.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

ashely1112

  • Sr. Member
  • ****
  • Posts: 347
Answer to Question 1

Correct Answer: 3
Rationale 1: The act's provisions states that the disabled must be able to perform the responsibilities of the job with reasonable accommodations. With limited use of upper arms, this nurse would not be able to perform the tasks required of a nurse working at the bedside.
Rationale 2: With limited use of upper arms, this nurse would not be able to perform the tasks required of a nurse working at the bedside. However, the hospital could help find another position that utilizes the nurse's experience and desire to continue in the field of nursing, but this would have to be a collaborate effort with the nurse and within a reasonable request regarding the hospital's needs and resources.
Rationale 3: According to the ADA, it is the employer's responsibility to provide reasonable accommodations that would allow the person with a disability to perform the job satisfactorily. With limited use of upper arms, this nurse would not be able to perform the tasks required of a nurse working at the bedside.
Rationale 4: Terminating employment may or may not occur, but not until all other options have been explored.

Answer to Question 2

Correct Answer: 2
Rationale 1: In this case, social services should be notified. Law enforcement would be notified if the results of social services' investigation warrant it.
Rationale 2: Nurses are considered mandated reporters. As a result, they must report any situation when an injury is present and appears to be the result of abuse, neglect, or exploitation. The situation described may or may not be one of abuse or neglect, but the nurse is required to report it to the proper authorities. In this case, social services should be notified.
Rationale 3: Questioning the client's adult child is appropriate, but the incident needs to be reported regardless of the questioning.
Rationale 4: Documentation in the chart is also extremely important, but this would be part of the nurse's notes, not a separate written report.




ashely1112

  • Sr. Member
  • ****
  • Posts: 347

 

Did you know?

The shortest mature adult human of whom there is independent evidence was Gul Mohammed in India. In 1990, he was measured in New Delhi and stood 22.5 inches tall.

Did you know?

Looking at the sun may not only cause headache and distort your vision temporarily, but it can also cause permanent eye damage. Any exposure to sunlight adds to the cumulative effects of ultraviolet (UV) radiation on your eyes. UV exposure has been linked to eye disorders such as macular degeneration, solar retinitis, and corneal dystrophies.

Did you know?

More than one-third of adult Americans are obese. Diseases that kill the largest number of people annually, such as heart disease, cancer, diabetes, stroke, and hypertension, can be attributed to diet.

Did you know?

Ether was used widely for surgeries but became less popular because of its flammability and its tendency to cause vomiting. In England, it was quickly replaced by chloroform, but this agent caused many deaths and lost popularity.

Did you know?

It is important to read food labels and choose foods with low cholesterol and saturated trans fat. You should limit saturated fat to no higher than 6% of daily calories.

For a complete list of videos, visit our video library