A nurse assesses a 7-year-old child brought to the clinic for recurring stomach pain. During the exam, they observe bruising on the child's upper arms and back that varies in appearance and healing. When the nurse gently asks about the bruising, the child replies, 'I get in trouble a lot.' What is the nurse's next best action?
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Offer reassurance to the child and assess for additional emotional needs.
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Document the bruising and monitor the situation during follow-up visits.
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Initiate a report to the appropriate authorities for further investigation.
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Discuss the findings with the caregiver to gather more information.
The correct action is to report these findings and statements to authorities designated to investigate potential abuse, such as Child Protective Services (CPS). Legal and ethical guidelines mandate that healthcare providers report reasonable suspicions of abuse immediately to protect the child. While documenting observations is necessary, it alone does not fulfill the obligation to act. Speaking directly with the caregiver risks compromising the child’s safety and could interfere with a proper investigation. Providing emotional support to the child is important but cannot substitute the legally required step of escalating concerns to the appropriate authorities for investigation. Nurses must prioritize safety and act within their role as mandated reporters.
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Psychosocial Integrity
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