An adolescent admits to being burned by a parent when misbehaving but does not want the parent to be reported to the authorities. Which statement should the nurse make?

Question

1. "Don't worry, I won't break your confidence."
2. "I have to tell the authorities or I'll get in big trouble myself."
3. "I'm sorry, but it is my responsibility to report that your mother is burning you with a cigarette."
4. "OK, but can I get your permission to tell your doctor this is happening?"

Answer 1

3. "I'm sorry, but it is my responsibility to report that your mother is burning you with a cigarette."

Explanation:
In most states, nurses are mandated reporters for cases of abuse of both children and older adults. There are substantial penalties for failing to report. Therefore, the nurse cannot assure the patient that the abuse will not be reported. It is not sufficient to tell the healthcare provider only, and the nurse does not need to get the adolescent's consent in this case. Telling the patient that the nurse will get in trouble is not the best way to foster a therapeutic relationship with the child, in part because it puts the focus on the nurse and not the patient. Gently letting the patient know that the nurse will need to report the abuse is the best response.