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?
Make a report to Child Protective Services (CPS)
Call the police and report the suspected abuse.
Call the child's guardian to have the child's pediatrician confirm the suspected abuse.
Alert the school principal of the situation.
The Correct Answer is A
Choice A: Make a Report to Child Protective Services (CPS)
This is the correct action for the nurse to take. Nurses are mandated reporters, meaning they are legally required to report any suspected cases of child abuse or neglect to the appropriate authorities. Child Protective Services (CPS) is the agency responsible for investigating reports of child abuse and ensuring the safety and well-being of children. Reporting to CPS ensures that the case is handled by professionals trained to investigate and intervene in such situations.
Choice B: Call the Police and Report the Suspected Abuse
While calling the police may seem like a logical step, it is not the primary action a nurse should take in this situation. The police may become involved later in the process, especially if there is an immediate threat to the child's safety. However, the initial report should be made to CPS, as they are the designated agency for handling child abuse cases.
Choice C: Call the Child's Guardian to Have the Child's Pediatrician Confirm the Suspected Abuse
This action is not appropriate because it could potentially place the child in further danger. If the guardian is the abuser, notifying them could lead to retaliation against the child or attempts to cover up the abuse. Additionally, it is not the role of the pediatrician to confirm abuse; this is the responsibility of CPS and law enforcement.
Choice D: Alert the School Principal of the Situation
While it is important to keep school officials informed, the nurse's primary responsibility is to report the suspected abuse to CPS. The school principal can be informed after the report has been made, but the immediate priority is to ensure the child's safety by contacting the appropriate authorities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
Choice A Reason:
a) Assess the community: This is the first step in addressing community health needs. It involves gathering data about the community's health status, resources, and needs. This can be done through surveys, interviews, focus groups, and public forums. The assessment helps to identify the health problems and needs of the community, which is essential for planning effective interventions.
Choice B Reason:
b) Analyze the findings and identify the needs: After collecting data, the next step is to analyze it to identify the community's health needs. This involves looking at the data to find patterns and trends that indicate health problems. By identifying these needs, the nurse can prioritize which issues to address first. This step is crucial for developing a targeted and effective health plan.
Choice C Reason:
c) Decide on educational theories to use: This step is not directly related to the initial assessment and planning process. Deciding on educational theories is more relevant when planning specific health education interventions. While important, it is not a primary step in assessing and addressing community health needs.
Choice D Reason:
d) Use measurable indicators to evaluate the plan: Using measurable indicators is essential for evaluating the effectiveness of the health plan. These indicators help to track progress and determine whether the interventions are achieving the desired outcomes. This step ensures that the health plan is effective and allows for adjustments to be made if necessary.
Choice E Reason:
e) Collaborate with the residents of the community on what interventions will work for that community and prioritize them: Collaboration with the community is vital for the success of any health intervention. By involving community members in the planning process, the nurse can ensure that the interventions are culturally appropriate and accepted by the community. This collaboration also helps to prioritize the interventions based on the community's needs and preferences.
Correct Answer is C
Explanation
Choice A: "I Think That I Missed Two Math Tutoring Classes Last Week, But I Can Still Catch Up."
This statement indicates that the client is aware of their academic responsibilities and is optimistic about catching up. Missing a couple of classes is not uncommon, and the client's positive attitude towards catching up is a good sign. This statement does not indicate an immediate need for intervention regarding their mental health.
Choice B: "I Have Not Used Drugs in 6 Weeks."
This statement is positive and indicates progress in the client's efforts to stay away from substance use. It shows that the client is making strides towards healthier behaviors, which is a crucial aspect of their overall well-being. This statement does not require immediate intervention but should be acknowledged and supported.
Choice C: "I Don't Have Anyone I Can Talk to About My Problems."
This statement is concerning and indicates a lack of social support, which is critical for someone with a history of depression and suicidal ideation. Feeling isolated and having no one to talk to can exacerbate feelings of depression and increase the risk of suicidal thoughts. This statement requires immediate intervention to ensure the client receives the necessary support and resources to address their feelings of isolation.
Choice D: "I Have Been Participating in My Local YMCA After-School Dance Program Again."
This statement is positive and indicates that the client is engaging in social and physical activities, which can be beneficial for their mental health. Participation in such programs can provide a sense of community, improve mood, and reduce feelings of isolation. This statement does not require immediate intervention but should be encouraged and supported.
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