Test-Taking Tip

Look to eliminate answers that contain only partially correct responses. Answer 4 is only half right and therefore can be eliminated. Of the remaining options, only Answer 1 contains an action that the nurse must always do when suspecting child abuse.

Content Area: Child Health, Abuse; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Safe and Effective Care Environment/Management of Care/Legal Rights and Responsibilities

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Health Promotion and Maintenance

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Answer 1 is correct because the nurse's priority is to fulfill the legal duties of a mandated reporter by contacting the agency responsible for taking reports of suspected child abuse. Answer 2 is incorrect because the nurse should not discuss the allegations with the child's family members as this may interfere with an investigation. Answer 3 is incorrect because further questioning by the nurse may harm the investigation. Questioning victims of suspected child abuse should be left to professionals skilled in this procedure. Answer 4 is incorrect because, although the nurse should provide a safe environment for the child, the nurse should not continue the discussion without the presence of the proper authorities.

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