A registered nurse in the United States suspects that a school-aged child has unexplained bruises and gives inconsistent explanations. The child asks the nurse not to tell anyone. What should the nurse do?
Correct answer: C. Make a report according to the state's mandatory reporting law
- A. Wait until the caregiver confirms the explanation
- B. Ask the child to provide proof of the abuse
- C. Make a report according to the state's mandatory reporting law
- D. Promise the child that the information will remain private
Explanation
Nurses are mandated reporters of suspected child abuse under applicable state law. The nurse does not need proof or an admission before reporting and cannot promise absolute confidentiality when safety concerns require disclosure.
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About US Legal and Ethical Nursing Practice
US nursing law and ethics include state nurse practice acts, scope of practice, standards of care, negligence, malpractice, documentation, confidentiality under HIPAA and informed consent. Ethical reasoning applies autonomy, beneficence, nonmaleficence, justice and fidelity to conflicts such as refusal of treatment, advance directives, privacy breaches and mandatory reporting, which are not the same as legal liability.
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50 free US Legal and Ethical Nursing Practice MCQs from International Nursing Practice, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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