Which nursing interventions should the nurse implement for a school-age child who is the victim of physical abuse by a parent? Select all that apply

Question

1. Referring members of the family for appropriate counseling
2. Protecting the child from further injury
3. Allowing the child to wear clothing during the examination process
4. Discouraging parental participation in the plan of care
5. Documenting the child's response to parental interaction

Answer 1

1, 2, 3, 5
Explanation:
1. It is appropriate for the nurse to refer members of the family for appropriate counseling.
2. It is appropriate for the nurse to protect the child from further injury.
3. It is appropriate for the nurse to allow the child to wear clothing during the examination process.
4. The nurse should encourage the parents to participate in the child's plan of care; however, the nurse should closely monitor interactions between the child and parent.
5. It is appropriate for the nurse to document the child's response to parental interaction.