The parent of a toddler paddling the child asks that the action not be reported because the child might be taken away. Which response should be made when the nurse assesses bruises and welts on the child?
1. "I won't tell anyone. HIPAA protects this information."
2. "I will not report this if you sign a contract stating that you won't hit the child again."
3. "I will have to report this because it is my legal obligation to do so as a nurse."
4. "I will refer you to social services so they can discuss it with you."
3. "I will have to report this because it is my legal obligation to do so as a nurse."
Explanation:
Nurses are legally obligated to report suspected child abuse to the proper government authorities. This is part of the duty to protect. The information may also be communicated to the nursing supervisor, the physician, and others, but the priority notification is to local government authorities. Child abuse is not protected by HIPAA or by privacy/confidentiality laws. Nurses who learn of or suspect child abuse or elder abuse are mandated to report it.
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A man diagnosed with alcohol dependence experiences his first relapse. During his AA meeting, another group member states, "I relapsed three times, but now have been sober for 15 years"
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Which occurrence best reflects the actions of most health care providers related to medical errors?
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