While assisting with an assessment at a community health clinic, a practical nurse observes distinct, linear marks on the back and thighs of an 8-year-old client. The caregiver states, 'He is very uncoordinated and tumbled down a flight of concrete stairs yesterday.' Which action is the most appropriate for the nurse to take?
- Notify the healthcare provider and initiate a mandated report to child protective services.Cevap
- BRecord the caregiver's explanation and monitor the client for additional injuries at the next visit.
- CExplain the inconsistency to the caregiver and ask if someone else could have injured the child.
- DDirect an unlicensed assistive personnel to take the child to another room and ask how the injuries occurred.
Cevap
Notify the healthcare provider and initiate a mandated report to child protective services.
The practical nurse is a mandated reporter. When objective physical findings, such as linear marks, do not align with the caregiver's history of a fall, the nurse must suspect non-accidental trauma. The priority is client safety, which requires immediately notifying the primary provider and filing a report with the appropriate protective agency to ensure a professional investigation.
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Mandated Reporting and Priority Actions for Suspected Child Abuse
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