A case management nurse is providing education about liability to a newly licensed nurse. Which of the following should the nurse include as an example of a liability concern for case managers?

A. The child is frequently absent from school: Chronic absenteeism can indicate neglect, particularly if there is no known illness or explanation. It suggests a lack of adequate supervision or possible efforts to hide signs of abuse.

B. The child's clothes are wrinkled and dirty: Consistently poor hygiene or unclean clothing can be a sign of neglect. It reflects a caregiver's failure to meet the child’s basic physical needs.

C. The child reports coughing all day: A cough alone is not indicative of abuse or neglect. It could result from many common, non-abuse-related conditions and does not support a maltreatment referral unless associated with other concerning signs.

D. The child is wearing open-toed shoes and the weather is cold outside: Inappropriate clothing for the weather can be a sign of neglect, especially if it occurs repeatedly. It may show a failure to provide for the child's health and safety.

E. The child tells the nurse that they are sick because they are bad: This statement suggests the child may have internalized blame and shame, which can be a psychological result of abuse. It is a red flag when seen alongside physical signs like bite marks.

A. Ask the client about their traditional cultural foods: This initial action demonstrates cultural sensitivity and helps the nurse tailor interventions that respect the client’s values while promoting adherence to the diabetic meal plan. Building a collaborative plan starts with understanding the client's baseline and traditions.

B. Provide the client with printed recipes: While recipes can be helpful tools for promoting healthy eating, offering them without first understanding the client’s cultural preferences may lead to low engagement. The recipes may not reflect foods the client enjoys or regularly eats, making it less likely they will follow dietary recommendations.

C. Explain the diabetes exchange list: Educating the client on the diabetes exchange system is useful for long-term management, but it should come after the nurse has gathered details about the client's current diet. Only by understanding the client’s cultural foods can the nurse effectively relate those items to the exchange list.

D. Use cookbooks to include traditional foods in meal plans: Cookbooks can be a useful resource for integrating cultural foods into a diabetic meal plan. However, using them prematurely may not align with the client’s actual practices or preferences.