The nurse suspects abuse when a 10-year-old child is taken to the urgent care center for a leg injury. The best way to document the history and physical findings is to:
a. Document what the child's caregiver tells the nurse.
b. Use the words the child has said to describe how the injury occurred.
c. Record what the nurse observes during the conversation.
d. Rely on photographs of the injuries.
ANS: B
When documenting the history and physical findings of suspected child abuse and neglect, use the words the child has said to describe how his or her injury occurred. Remember, the abuser may be accompanying the child.
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