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    Pediatrics nursing proctored exam

    A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?

    Explanation & Rationale

    Choice A rationale Deferring the explanation to the healthcare provider avoids the nurse's professional responsibility to communicate the legal requirements and ethical obligations related to child welfare. Nurses are independent reporters in most jurisdictions, and while the provider may follow up, the nurse must directly address the parent's immediate concern regarding their own action, citing the legal mandate. Choice B rationale While calling a supervisor may be a step in the facility's internal protocol, the nurse has a direct responsibility to communicate the reason for the mandatory reporting to the parent in a professional and non-accusatory manner. Directly stating the legal requirement is the most appropriate and professional boundary-maintaining response in this highly sensitive and legally mandated situation. Choice C rationale This response inappropriately shifts the responsibility for contacting the authorities solely to the supervisor, which can be inaccurate and fails to explain the fundamental reason for the nurse's initial action. The nurse initiated the action based on reasonable suspicion and a direct legal requirement, which is the necessary information to convey to the parent. Choice D rationale In all states and provinces, nurses are designated as mandatory reporters, meaning they are legally required to report any reasonable suspicion of child abuse or neglect to the appropriate child protective services or law enforcement. This response is appropriate because it is factual, non-judgmental, professional, and clearly explains that the action was a non-negotiable legal obligation rather than a personal decision.

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