A nurse is working in a pediatric clinic and suspects that a 6-year-old girl who comes for a routine check-up is being emotionally abused by her mother. Which of the following actions should the nurse take? (Select all that apply.)

Report the suspicion to the child protective services.

Document the findings and observations in the medical record.

Confront the mother and ask her to stop abusing her daughter.

Provide support and education to the mother and the daughter.

Refer the mother and the daughter to a mental health professional.

Answer and Explanation

Correct Answer : A,B,D,E

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 abuse or neglect.

Choice C Reason: The nurse should not confront the mother and ask her to stop abusing her daughter, which is not a legal or ethical obligation for nurses who work with children. The nurse should avoid any confrontation or intervention that may endanger the child or himself or herself.

Choice D Reason: The nurse should provide support and education to the mother and the daughter, which is a legal and ethical obligation for nurses who work with children. The nurse should offer empathy and compassion to the child and the family and provide information about available resources and services.

Choice E Reason: The nurse should refer the mother and the daughter to a mental health professional, 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 child and the family.

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Correct Answer is A

Explanation

Choice A Reason: This statement is appropriate because it shows empathy and reassurance to the boy. It also helps him understand that he is not responsible for the abuse and that he is not alone.

Choice B Reason: This statement is not appropriate because it puts pressure on the boy to disclose his experience. It also implies that his cooperation is a condition for receiving help.

Choice C Reason: This statement is not appropriate because it shifts the focus from the boy's feelings to his uncle's feelings. It also suggests that his uncle has some justification or remorse for his actions.

Choice D Reason: This statement is not appropriate because it blames and criticizes the boy for his experience. It also reinforces his sense of shame and guilt.

A. "You should not love someone who hurts you. You deserve better." B. "You are confused about your feelings. Your father is a bad person." C. "You have a strong bond with your father. He needs to learn how to control his anger." D. "You are experiencing ambivalence. It is normal to have mixed feelings about your father."

Correct Answer is D

Explanation

Choice A Reason: This statement is not appropriate because it dismisses and invalidates the girl's feelings. It also implies that the girl is responsible for her abuse and that she can change her father's behavior.

Choice B Reason: This statement is not appropriate because it judges and labels the girl's feelings and her father's character. It also creates a dichotomy between good and bad, which may not reflect the complexity of the situation.

Choice C Reason: This statement is not appropriate because it minimizes and rationalizes the girl's abuse. It also shifts the blame from the father to his anger, which may not address the underlying causes of his violence.

Choice D Reason: This statement is appropriate because it acknowledges and validates the girl's feelings. It also explains that ambivalence is a common reaction among children who are abused by their parents, who may love them but also hurt them.

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A nurse is working in a pediatric clinic and suspects that a 6-year-old girl who comes for a routine check-up is being emotionally abused by her mother. Which of the following actions should the nurse take? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is interviewing a 10-year-old boy who has been sexually abused by his uncle. The boy is reluctant to talk about his experience and says that he feels ashamed and guilty. Which of the following statements by the nurse is appropriate to encourage communication?

Correct Answer is A

Explanation

Correct Answer is D

Explanation

A nurse is reviewing the legal and ethical aspects of reporting child abuse and neglect. Which of the following statements is true?

A nurse is caring for a child who has been neglected by his parents. The nurse notices that the child is malnourished, dirty, and withdrawn. Which of the following statements by the nurse is appropriate to establish rapport with the child?

A nurse is providing education to a group of parents about the risk factors and consequences of child abuse and neglect. Which of the following statements should the nurse include in the teaching? (Select all that apply.)

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?

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