In which scenario is a registered nurse required to report to appropriate authority?

A registered nurse is required to report to the appropriate authority in situations where there is suspected abuse or potential harm to a vulnerable individual. In the scenario involving a nurse suspecting abuse in either a teenage or elderly client, it is essential to recognize that the welfare of the individual takes precedence over the client's current statements or requests for confidentiality.

When it comes to a teenager, they may not have the knowledge or experience to fully understand the implications of their situation. If the nurse suspects that abuse is occurring, reporting is crucial to ensure the safety and well-being of the client.

Similarly, with an elderly client, the situation can be even more complex due to potential cognitive impairments or fear of retribution. Here, the nurse must still take action based on their suspicions, as the elderly are often at increased risk of abuse and may hesitate to speak up.

In both circumstances, even if the client denies the abuse or requests confidentiality, the nurse has a legal and ethical obligation to report their suspicions to protect the individual from further harm. This obligation is rooted in the principles of safeguarding vulnerable populations.