A nurse is collecting data from a child and notes the presence of bruises on her arms and legs. Which of the following actions should the nurse take first?
Obtain a detailed history.
Report the suspected abuse to the authorities.
Request a social services referral.
Tell the child what will happen to her when the abuse is reported.
The Correct Answer is A
Choice A reason: Obtaining a detailed history is the first action that the nurse should take. History can help the nurse determine the cause, frequency, and severity of the bruises, as well as the child's relationship with the abuser and the risk of further harm. History can also help the nurse assess the child's physical and emotional state, and provide evidence for reporting the abuse later.
Choice B reason: Reporting the suspected abuse to the authorities is not the first action that the nurse should take. The nurse should report the abuse only after obtaining a history and confirming the suspicion. Reporting the abuse prematurely can jeopardize the child's safety and the nurse's credibility. The nurse should also follow the legal and ethical guidelines for reporting abuse in their jurisdiction.
Choice C reason: Requesting a social services referral is not the first action that the nurse should take. The nurse should request a social services referral only after reporting the abuse and ensuring the child's protection. A social services referral can help the child access resources and support, such as counseling, legal aid, foster care, etc. The nurse should also collaborate with the social worker and other members of the interdisciplinary team to provide holistic care for the child.
Choice D reason: Telling the child what will happen to her when the abuse is reported is not the first action that the nurse should take. The nurse should tell the child what will happen to her only after obtaining a history and reporting the abuse. The nurse should also use age-appropriate language and reassure the child that the abuse is not her fault and that she is not alone. The nurse should avoid making promises that they cannot keep, such as saying that the abuser will never hurt her again.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This statement is false and should not be included in the teaching. Teaches nursing students is not a responsibility of a case manager, but rather a role of a nurse educator. A nurse educator is a nurse who designs, implements, and evaluates educational programs for nurses, students, and other health care professionals.
Choice B reason: This statement is false and should not be included in the teaching. Provides direct client care is not a responsibility of a case manager, but rather a role of a direct care nurse. A direct care nurse is a nurse who provides handson care to patients in various settings, such as hospitals, clinics, or home health agencies.
Choice C reason: This statement is true and should be included in the teaching. Organizes client services following discharge is a responsibility of a case manager, as it involves coordinating and facilitating the transition of care from one setting to another. A case manager is a nurse who assesses, plans, implements, monitors, and evaluates the options and services required to meet the client's health and human service needs.
Choice D reason: This statement is false and should not be included in the teaching. Collects and utilizes data to change current practice is not a responsibility of a case manager, but rather a role of a nurse researcher. A nurse researcher is a nurse who conducts scientific studies to improve health care outcomes, quality, and safety.
Correct Answer is ["A","C","D"]
Explanation
Choice A reason: Workshops are a resource that the nurse should include in the teaching. Workshops are short-term educational programs that provide practical skills, knowledge, or experience on a specific topic or area of interest. Workshops can help nurses to update their competencies, learn new techniques, or explore new trends in nursing practice. Workshops can also provide opportunities for networking, collaboration, and feedback from peers and experts.
Choice B reason: Nursing topics on social media are not a resource that the nurse should include in the teaching. Nursing topics on social media are informal and unregulated sources of information that may not be reliable, valid, or evidence based. Nursing topics on social media may also pose ethical and legal risks, such as breaching confidentiality, privacy, or professionalism. Nursing topics on social media may be useful for raising awareness, sharing opinions, or engaging in discussions, but they are not a substitute for formal education or research.
Choice C reason: Online continuing education is a resource that the nurse should include in the teaching. Online continuing education is a form of distance learning that offers courses, modules, or programs that can be accessed through the internet. Online continuing education can help nurses to enhance their knowledge, skills, and attitudes, and to meet the requirements for licensure, certification, or accreditation. Online continuing education can also provide flexibility, convenience, and affordability for nurses who have busy schedules or limited resources.
Choice D reason: Scholarly journals are a resource that the nurse should include in the teaching. Scholarly journals are academic publications that disseminate original research, reviews, or analyses on various topics or fields of study. Scholarly journals can help nurses to keep abreast of the latest evidence, innovations, and best practices in nursing science and practice. Scholarly journals can also stimulate critical thinking, inquiry, and curiosity among nurses who seek to advance their profession and improve their outcomes.
Choice E reason: Nursing blogs online are not a resource that the nurse should include in the teaching. Nursing blogs online are personal or professional websites that feature posts, articles, or stories written by nurses or nursing students. Nursing blogs online may provide insights, perspectives, or experiences on various aspects of nursing, but they may not be objective, comprehensive, or rigorous. Nursing blogs online may also contain errors, biases, or opinions that may not reflect the standards or values of the nursing profession. Nursing blogs online may be enjoyable, inspirational, or motivational, but they are not a source of formal education or research.
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