A nurse is assisting in the care of an adolescent who states, "I hate living at home. It's impossible to please my parents." Which of the following responses should the nurse make?

Choice A reason: If a nurse suspects child abuse, they are legally required to report it to the appropriate authorities. Informing the parents that the findings must be reported is necessary to comply with mandatory reporting laws. This step ensures that the child receives the necessary protection and that the situation is investigated further by child protective services or law enforcement.

Choice B reason: Completing an incident report for risk management is an internal process used by healthcare facilities to document incidents that occur within the facility. While it is important to document the findings, this action alone does not fulfill the nurse's legal obligation to report suspected abuse to the authorities.

Choice C reason: Interviewing the child about the suspected abuse with a parent present may not be appropriate, especially if there is a possibility that the parent is the abuser. The presence of the parent could influence the child's responses and prevent them from speaking freely about the abuse. It is crucial to conduct the interview in a safe and supportive environment, often with a child protection professional or a social worker.

Choice D reason: Avoiding asking the child what caused the injury is not recommended in cases of suspected abuse. It is important for the nurse to gather as much information as possible about the cause of the injury. However, the nurse should approach the questioning in a sensitive and non-leading manner to avoid further traumatizing the child.

Choice A reason: Naltrexone is not designed to prevent alcohol withdrawal symptoms. It works by blocking the euphoric effects of alcohol and reducing cravings, but clients who stop drinking may still experience withdrawal symptoms. Proper medical management and support are necessary to address alcohol withdrawal.

Choice B reason: Naltrexone does not help clients gradually decrease alcohol intake. Instead, it is used to help maintain abstinence by reducing cravings and the reinforcing effects of alcohol. Clients typically need to stop drinking before starting naltrexone treatment.

Choice C reason: Ringing in the ears, or tinnitus, is not a common side effect of naltrexone or an expected reaction when consuming alcohol while on the medication. This statement indicates a misunderstanding of how naltrexone works and its potential side effects.

Choice D reason: This statement accurately reflects one of the primary effects of naltrexone. The medication helps reduce cravings for alcohol, making it easier for individuals to maintain abstinence and avoid relapse. By understanding this aspect of naltrexone, the client demonstrates a clear understanding of its purpose and use in alcohol dependence treatment.