A nurse working at a middle school suspects that a student is experiencing physical abuse after performing an assessment on them. Which of the following actions should the nurse take next?

Choice A: "Telehealth Helps Clients Who Have Difficulty Accessing a Physician's Office Communicate with Their Primary Care Providers."
This statement is correct. Telehealth is particularly beneficial for homebound clients who may have difficulty traveling to a physician's office. It allows them to communicate with their primary care providers through video calls, phone calls, or online messaging. This can help manage chronic conditions, provide follow-up care, and ensure that patients receive timely medical advice without the need to leave their homes.

Choice B: "Telehealth Helps to Cover the Cost of Prescriptions, Medical Equipment, and Other Health Care Expenditures."
This statement is incorrect. Telehealth primarily focuses on providing remote clinical services rather than covering the costs of prescriptions, medical equipment, or other health care expenditures. While telehealth can facilitate access to medical advice and consultations, it does not directly address financial coverage for health care costs.

Choice C: "Telehealth is a Supplemental Program that Fills in Gaps in Coverage from Government-Provided Health Insurance.
This statement is misleading. Telehealth is not a supplemental insurance program but a method of delivering health care services remotely. It can complement traditional in-person care by providing additional access to medical consultations and follow-ups, but it does not function as an insurance program to fill coverage gaps.

Choice D: "Telehealth Can Duplicate or Replace All of the Services Provided by a Health Care Institution."
This statement is incorrect. While telehealth can provide many services remotely, it cannot replace all the services provided by a health care institution. Certain medical procedures, physical examinations, and treatments require in-person visits. Telehealth is a valuable tool for enhancing access to care, but it is not a complete substitute for all health care services.

Choice A Reason:
Autonomy refers to respecting an individual's right to make their own decisions. In the context of healthcare, it means allowing patients to make informed choices about their own care. While autonomy is an important ethical principle, it is not the primary focus when considering the balance of benefits and harms in a community-wide intervention.

Choice B Reason:
Beneficence is the ethical principle that involves acting in the best interest of others by promoting good and preventing harm. In this scenario, the nurse demonstrates beneficence by ensuring that the benefits of the physical activity program substantially outweigh any potential harms. This principle is central to public health initiatives, where the goal is to enhance the well-being of the community.

Choice C Reason:
Nonmaleficence is the principle of "do no harm." It emphasizes the importance of not causing harm to others. While nonmaleficence is closely related to beneficence, the focus in this scenario is on the positive impact of the intervention (beneficence) rather than solely avoiding harm (nonmaleficence).

Choice D Reason:
Justice refers to fairness and equality in the distribution of resources and treatment. It ensures that all individuals have equal access to healthcare and that no group is unfairly disadvantaged. Although justice is a crucial ethical principle, the scenario specifically highlights the balance of benefits and harms, which aligns more closely with beneficence.