What are signs of abuse that you can look for as a nurse? How may the nurse obtain subjective information from the child when she is reluctant to speak? Given the information provided by the mother, what further assessment should the nurse conduct? Does the nurse need to notify anyone, if so who, and why? Provide at least four nursing considerations and provide the rationale for all nursing considerations.
A 10-year-old child is brought into the emergency department by her mother. The mother appears anxious but sits quietly next to her daughter in the waiting room. When called into the triage area, the mother gives a history of coming home from work to find her daughter sitting on the couch watching television. Her daughter did not go to the door to greet her or look toward her when she said hello. The mother thought the daughter’s behavior was odd because she always greeted her at the door with a hug. As she approached her daughter, she noticed that she was clutching her right arm as if in pain. The mother asked what was wrong, but the daughter remained silent. Then she said, “Nothing is wrong.” The father is sleeping upstairs. The mother gives a family history of having an alcoholic husband who usually drinks himself to sleep. She said he has abused the child physically and psychologically in the past, and she brought her to the emergency department because she fears he has hurt the child. When the child is asked about the abuse, she appears scared, insecure, and withdrawn.
- What are signs of abuse that you can look for as a nurse?
- How may the nurse obtain subjective information from the child when she is reluctant to speak?
- Given the information provided by the mother, what further assessment should the nurse conduct?
- Does the nurse need to notify anyone, if so who, and why?
- Provide at least four nursing considerations and provide the rationale for all nursing considerations.
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