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    ATI PN Paediatrics Nursing Proctored Exam 2023

    A nurse is caring for a child and suspects the child has experienced physical maltreatment.Which of the following statements should the nurse make?

    Explanation & Rationale

    Choice A rationaleTelling a child that "This should not have happened to you" acknowledges the injustice of the situation. While this statement can validate the child's feelings, it may not provide the necessary comfort and reassurance that the child needs in the moment.Choice B rationalePromising not to tell anyone about the abuse is inappropriate and unethical. As a mandated reporter, the nurse has a legal and ethical obligation to report suspected child abuse to the appropriate authorities. Making such a promise can hinder the necessary investigation and protection of the child.Choice C rationaleInforming the child that "It is not your fault that this happened" is essential in alleviating feelings of guilt and shame that the child may have. It helps the child understand that they are not to blame for the abuse and that they are not responsible for the actions of the abuser. This reassurance is crucial for the child's emotional healing.Choice D rationaleTelling the child "You should have told someone about this sooner" can place undue blame and guilt on the child. Children who experience abuse often feel fear, shame, and confusion, which can prevent them from disclosing the abuse. It is important to provide a supportive and non-judgmental environment to encourage the child to share their experiences.

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