Which of the following would not be appropriate documentation in the client chart?

What the facility states should have been done in that situation:
Facilities have their own policies and procedures that guide the staff. While these are important for ensuring consistent care and safety, they might not always align perfectly with the evolving standards of practice or individual patient needs. Legal standards are more broadly based on what is reasonable and prudent in the specific situation.

What the public expectations of what is to be done in the same situation:
Public expectations might vary widely and can be influenced by individual beliefs, cultural factors, or misconceptions. Legal standards are established by the profession and are based on specialized knowledge and training, ensuring that they reflect the best practices and evidence-based care.

What a reasonable and prudent nurse would have done in the same situation:
This is the key standard in legal contexts, known as the standard of care. It means evaluating the nurse's actions against what a hypothetical, reasonably competent nurse with similar training and experience would have done under similar circumstances. This standard is based on professional expertise, current evidence, and the specific needs of the patient, making it the most relevant and fair measure in cases of professional negligence.

What the general practice of colleagues at the time, in the same situation:
While professional norms and guidelines do consider the practices of colleagues, they also leave room for individual judgment and critical thinking. Just because a practice is common among colleagues does not necessarily mean it meets the standard of care. The legal standard considers what a reasonably prudent nurse would have done, which may involve a more careful evaluation of the situation than simply following common practice.

Best interest and nonmaleficence: These principles are typically not overlooked in child abuse cases. Ensuring the best interest of the child and avoiding harm are fundamental principles in child protection.

Privacy and self-determination: These principles can sometimes conflict with the need to report child abuse. Privacy concerns might make individuals hesitant to report suspicions, especially if they fear repercussions. Self-determination, especially in cases involving older children or teenagers, can complicate reporting if the child denies the abuse or refuses intervention.

Paternalism and beneficence: These principles, which involve acting in the best interest of the child even without their consent, are usually not overlooked. In cases of suspected child abuse, acting in the child's best interest often takes precedence.

Veracity and obligation: Veracity (truthfulness) is important in reporting child abuse, but it's not typically overlooked. Obligation to protect the child's safety and well-being often overrides concerns about confidentiality in suspected cases of abuse.