A nurse is reviewing the legal and ethical aspects of reporting child abuse and neglect. Which of the following statements is true?
The nurse must have conclusive evidence of abuse or neglect before making a report.
The nurse must report any suspected abuse or neglect to the appropriate authorities.
The nurse must obtain the consent of the child and the parents before making a report.
The nurse must confront the abuser and offer counseling before making a report.
The Correct Answer is B
Choice A Reason: This statement is false because the nurse does not need to have conclusive evidence of abuse or neglect before making a report. The nurse only needs to have Reasonable cause or suspicion to believe that a child is being maltreated.
Choice B Reason: This statement is true because the nurse has a legal and ethical obligation to report any suspected abuse or neglect to the appropriate authorities, such as child protective services, law enforcement, or health care providers. The nurse should follow the policies and procedures of his or her institution and state laws regarding reporting.
Choice C Reason: This statement is false because the nurse does not need to obtain the consent of the child and the parents before making a report. The nurse should respect the confidentiality and privacy of the child and the family, but not at the expense of their safety and well-being.
Choice D Reason: This statement is false because the nurse does not need to confront the abuser and offer counseling before making a report. The nurse should avoid any confrontation or intervention that may endanger the child or himself or herself. The nurse should refer the child and the family to appropriate resources and services for further assessment and treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
Choice A Reason: The nurse should report the suspicion to the child protective services, which is a legal and ethical obligation for nurses who work with children. The nurse should follow the policies and procedures of his or her institution and state laws regarding reporting.
Choice B Reason: The nurse should document the findings and observations in the medical record, which is a legal and ethical obligation for nurses who work with children. The nurse should use objective and precise language to describe any signs or symptoms of neglect.
Choice C Reason: The nurse should provide the boy with clean clothes, food, and a place to rest, which is a legal and ethical obligation for nurses who work with children. The nurse should address the immediate needs of the boy and ensure his comfort and safety.
Choice D Reason: The nurse should educate the parents about the importance of meeting their child's basic needs, which is a legal and ethical obligation for nurses who work with children. The nurse should offer support and guidance to the parents and provide information about available resources and services.
Choice E Reason: The nurse should refer the boy to a counselor or a social worker, which is a legal and ethical obligation for nurses who work with children. The nurse should recognize his or her scope of practice and collaborate with other health care providers to ensure holistic care for the boy and his family.
Correct Answer is B
Explanation
The correct answer is B. A spiral fracture of the femur is a common injury caused by twisting or jerking the leg, which can indicate physical abuse. The other options are not necessarily indicative of abuse, as they can be caused by normal childhood activities or accidents.
Choice A Reason: Bruises on the knees and elbows are common in children who are active and fall or bump into things. They are not usually a sign of abuse unless they are in unusual patterns or locations, such as the face, neck, abdomen, or genitals.
Choice B Reason: A spiral fracture of the femur is a common injury caused by twisting or jerking the leg, which can indicate physical abuse. This type of fracture is unlikely to occur from normal play or accidental falls, and should raise suspicion of abuse.
Choice C Reason: A small burn on the finger from touching a hot stove is an example of a minor injury that can happen to any child who is curious and exploring their environment. It is not a sign of abuse unless there are other burns or injuries that suggest intentional harm.
Choice D Reason: A rash on the buttocks from wearing a wet diaper is a common skin condition that can affect infants and toddlers who are not changed frequently enough. It is not a sign of abuse unless there is evidence of neglect, such as poor hygiene, malnutrition, or lack of medical care.
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