A client being treated in an alcohol rehabilitation unit reveals to the nurse that he feels "terrible
guilt" for sexually abusing his 6-year-old stepdaughter before his admission.
On the basis of state
and federal laws, the best action for the nurse to take is to
a. anonymously report the abuse through a phone call to the local child abuse
hotline.
b. respect nurse-client relationship confidentiality.
c. file a written report on agency letterhead.
d. report the finding to the district attorney.
ANS: A
Laws regarding child abuse reporting discovered by a professional during the suspected abuser's
alcohol or drug treatment differ by state. Federal law supercedes state law and prohibits disclosure
without a court order except in instances in which the report can be made anonymously or without
identifying the abuser as a client in an alcohol or drug treatment facility. Option A meets federal
criteria. Option B does not accomplish reporting. Options C and D violate federal law.
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