A nurse is interviewing a child who is suspected of being emotionally abused by his mother. Which of the following statements by the child should alert the nurse to possible abuse?

Choice A Reason: This statement is not appropriate because it implies that the child is responsible for his hygiene and appearance, which may make him feel ashamed or guilty. The nurse should avoid blaming or judging the child for his situation.

Choice B Reason: This statement is not appropriate because it may be too intrusive or threatening for the child, who may fear the consequences of disclosing his parents' neglect. The nurse should avoid asking direct or personal questions that may overwhelm or frighten the child.

Choice C Reason: This statement is not appropriate because it may be too vague or abstract for the child, who may not trust or understand the nurse's role. The nurse should avoid making promises or assumptions that may not be realistic or fulfilled.

Choice D Reason: This statement is appropriate because it shows interest and curiosity in the child's preferences and hobbies, which may help him feel valued and respected. The nurse should use open-ended questions and positive comments to engage the child in conversation and build trust.

Choice A Reason: This statement is true because the legal obligation of the nurse to report child abuse and neglect is based on federal and state laws that mandate certain professionals who work with children to report any Reasonable suspicion of maltreatment to the appropriate authorities and agencies. These laws vary by state, but they generally define who is required to report, what constitutes abuse or neglect, how to make a report, and what are the penalties for failing to report.

Choice B Reason: This statement is false because the ethical obligation of the nurse to report child abuse and neglect is based on professional codes of conduct that require nurses to uphold the principles of beneficence, nonmaleficence, justice, fidelity, veracity, advocacy, and accountability. These principles guide the moral decision-making and behavior of nurses in their practice.

Choice C Reason: This statement is false because the legal and ethical obligations of the nurse to report child abuse and neglect are consistent with the nursing standards of practice that state that nurses have a duty to protect the health, safety, and rights of their clients. These standards define the expectations and responsibilities of nurses in their practice.

Choice D Reason: This statement is false because the legal obligation of the nurse to report child abuse and neglect is not based on institutional policies and procedures that specify the steps and guidelines for reporting child abuse and neglect within the health care setting. These policies and procedures may vary by institution, but they should comply with the federal and state laws regarding reporting.