While playing with a 7-year-old child, the nurse notices bruises in different stages of healing and the child becomes fearful when a caregiver approaches. What is the nurse's priority action?

Correct answer: B. Document objective findings and report concerns through safeguarding policy

  • A. Question the caregiver in front of the child immediately
  • B. Document objective findings and report concerns through safeguarding policy
  • C. Ignore the findings because family discipline is private
  • D. Ask the child to investigate and explain the caregiver's behaviour

Explanation

Possible abuse requires objective documentation and prompt reporting through the hospital safeguarding pathway. The nurse should avoid leading questions, confrontation and personal investigation, while protecting the child's safety and confidentiality.

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About Care of the Hospitalised Child

Care of the hospitalised child covers admission assessment, monitoring vital signs, medication safety, pain relief, nutrition, hygiene, infection prevention and safe discharge planning. It also addresses atraumatic care, therapeutic play, communication with children and parents, family participation, separation anxiety, safeguarding and the child’s rights during hospital care.

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