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    Ati mental health assessment proctored exam

    A nurse in an urgent care clinic is caring for a school-age child who has several visible bruises. The child's parent states, "My partner got fired today and came home angry. I don't think this will happen again." Which of the following responses should the nurse make?

    Explanation & Rationale

    A reason: "I agree with you. I'm sure this will never happen again." Agreeing with the parent without further investigation is inappropriate and does not address the potential risk to the child. The nurse should gather more information to assess the situation fully. B reason: "This is awful. You should file charges against your partner." Suggesting that the parent file charges is premature without understanding the full context of the situation. The nurse's role is to gather information, assess the risk, and take appropriate protective actions. C reason: "This is clearly child endangerment. I will have to call the police." While the nurse has a responsibility to report suspected child abuse, it is important to gather more information first. This response could escalate the situation without a thorough assessment. D reason: "I'd like to know more about what happened. Let's sit and talk." This response is appropriate as it allows the nurse to gather more information about the situation in a non-confrontational manner. It helps build rapport with the parent while assessing the child's safety.

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