A 6-year-old child is brought to the emergency department by their caregiver, who states the child fell from a playground structure. On examination, the child has bruises on their arms, abdomen, and back at different stages of healing. The caregiver becomes defensive and provides vague explanations when asked about the child’s injuries. What should the nurse do next?
Report suspected abuse to the CPA according to facility policy.
Provide the caregiver with education on injury prevention strategies.
Document the findings and observe for further signs of abuse.
Ask the child privately about how the injuries occurred.
Reporting suspected abuse to the Child Protection Agency (CPA) is the correct course of action for a healthcare professional who observes potential signs of abuse or neglect. Nurses are mandated reporters, meaning they are legally required to escalate suspected abuse to the appropriate authorities. Visible bruises at different stages of healing raise concerns of repeated harm, while the caregiver's defensive demeanor and vague explanations further indicate a need for investigation. Simply documenting findings or attempting to secure independent verification is insufficient, as it could delay intervention needed to protect the child. Providing injury prevention advice in this scenario is inappropriate, as it does not address the root concern of potential abuse.
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Psychosocial Integrity
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