The psychiatric nurse practitioner is evaluating a 6-year-old girl who acts inappropriately with her peers, asking to see their "bathing suit parts." She reports playing a "secret game" with her mom's boyfriend in which he touched her under her panties. Which of the following is the most appropriate immediate action?

Choice A reason: While involving a trusted family member may be helpful later, it does not fulfill the legal and ethical obligation to report suspected abuse. It delays appropriate intervention. Choice B reason: Telling the mother to cease contact with the boyfriend may be necessary, but it is not the PMHNP’s role to enforce protective measures without proper reporting. This action alone does not initiate an investigation or ensure the child’s safety. Choice C reason: Mandatory reporting laws require healthcare professionals to report suspected child abuse immediately to the appropriate child protection agency. This ensures that trained professionals can investigate and intervene to protect the child. Choice D reason: Delegating the responsibility to the school is inappropriate. The PMHNP is the mandated reporter and must act directly to notify child protective services.