The nurse in the Emergency Department is taking a history from a family accompanying a child with traumatic injuries that are suspicious for abuse. Which of the following actions is most appropriate for the nurse to take?
Avoid responding to hints that abuse has occurred.
Separate the family from the child during the interview.
Report the concern for potential abuse to the immediate supervisor.
Obtain information as covertly as possible.
The Correct Answer is B
Rationale:
A. Avoid responding to hints that abuse has occurred is not appropriate. The nurse should address and assess any signs or suspicions of abuse openly.
B. Separate the family from the child during the interview is appropriate as it allows the nurse to obtain information from the child without potential coercion or influence from the family members.
C. Report the concern for potential abuse to the immediate supervisor is important but should be done after gathering sufficient information. The immediate action should focus on separating and interviewing the child.
D. Obtain information as covertly as possible is not ideal. It is important to obtain accurate information while ensuring the safety and comfort of the child, rather than being covert.
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View Related questions
Correct Answer is ["C","D","E"]
Explanation
Rationale:
A. Sex workers are not specifically a mandatory reporting group. While they may be at risk, mandatory reporting laws generally focus on certain vulnerable populations such as children, the elderly, and disabled individuals.
B. Pregnant women are not a mandatory reporting group unless there is clear evidence of abuse or neglect impacting the health of the unborn child.
C. Children are a mandatory reporting group. Healthcare professionals are required by law to report suspected abuse or neglect to child protective services.
D. Disabled individuals are also a mandatory reporting group, as they are at increased risk of abuse and neglect. Reports should be made if abuse or neglect is suspected.
E. The elderly are a mandatory reporting group. Elder abuse must be reported to appropriate agencies, such as adult protective services, when suspected.
Correct Answer is ["C","D","E"]
Explanation
Rationale:
A. The child attending a childcare program does not necessarily indicate risk for abuse. Childcare attendance alone does not provide evidence of abuse risk.
B. The partner living with his parents may affect the dynamics of the household but does not directly indicate risk for the child unless further context suggests otherwise.
C. The child reporting seeing the mother being hit with a baseball bat is a significant indicator of potential abuse and trauma, which could put the child at risk.
D. Clinging to the mother's side may indicate anxiety or fear, which could be related to an abusive environment or trauma.
E. Unemployment and alcohol abuse by the partner are risk factors for intimate partner violence and can also affect the safety and well-being of the child.