A nurse is reinforcing teaching with a client who has been newly diagnosed with diabetes mellitus. Which of the following information demonstrates health literacy by the client?

Choice A reason: Obtaining a detailed history is the first action that the nurse should take. History can help the nurse determine the cause, frequency, and severity of the bruises, as well as the child's relationship with the abuser and the risk of further harm. History can also help the nurse assess the child's physical and emotional state, and provide evidence for reporting the abuse later.
Choice B reason: Reporting the suspected abuse to the authorities is not the first action that the nurse should take. The nurse should report the abuse only after obtaining a history and confirming the suspicion. Reporting the abuse prematurely can jeopardize the child's safety and the nurse's credibility. The nurse should also follow the legal and ethical guidelines for reporting abuse in their jurisdiction.
Choice C reason: Requesting a social services referral is not the first action that the nurse should take. The nurse should request a social services referral only after reporting the abuse and ensuring the child's protection. A social services referral can help the child access resources and support, such as counseling, legal aid, foster care, etc. The nurse should also collaborate with the social worker and other members of the interdisciplinary team to provide holistic care for the child.
Choice D reason: Telling the child what will happen to her when the abuse is reported is not the first action that the nurse should take. The nurse should tell the child what will happen to her only after obtaining a history and reporting the abuse. The nurse should also use age-appropriate language and reassure the child that the abuse is not her fault and that she is not alone. The nurse should avoid making promises that they cannot keep, such as saying that the abuser will never hurt her again.

Choice A reason: This is correct. Caring is one of the interlocking principles of shared governance. Caring refers to the nurse's commitment to the well-being of patients, families, colleagues, and the profession. Caring also involves the nurse's self-care and professional development. Caring is the foundation of nursing practice and the core value of shared governance.

Choice B reason: This is incorrect. Navigation is not one of the interlocking principles of shared governance, but a skill that nurses need to practice shared governance. Navigation refers to the nurse's ability to navigate the complex and dynamic health care environment, and to adapt to changes and challenges. Navigation also involves the nurse's use of evidence, technology, and innovation to improve outcomes and quality of care².

Choice C reason: This is incorrect. Finance is not one of the interlocking principles of shared governance, but a factor that influences shared governance. Finance refers to the financial resources and constraints that affect the health care system and the nursing profession. Finance also involves the nurse's understanding of the economic impact of their practice and decisions, and their participation in budgeting and resource allocation.

Choice D reason: This is correct. Leading is one of the interlocking principles of shared governance. Leading refers to the nurse's role as a leader and a follower in the health care team and the organization. Leading also involves the nurse's empowerment, autonomy, accountability, and collaboration. Leading is the key to achieving shared governance and transforming nursing practice.

Choice E reason: This is correct. Knowing is one of the interlocking principles of shared governance. Knowing refers to the nurse's knowledge and expertise in their specialty and practice area. Knowing also involves the nurse's lifelong learning, inquiry, and scholarship. Knowing is the basis of nursing excellence and the driver of shared governance.