Difficulty: Medium
Average Score: 91%
Simulated
Passage / Scenario
A nurse is assessing a child and notes several bruises.A nurse is assessing a child and notes several bruises. Which of the following actions should the nurse take?
Correct answer
A
Rationale
The correct answer is A: Obtain a detailed history. This is the most appropriate initial action as it allows the nurse to gather information about the bruises, including their cause, location, and any possible explanations provided by the child or parents. This step helps in assessing whether the bruises are due to abuse or other reasons such as accidents or medical conditions. Reporting suspected abuse (choice C) should only be done after gathering sufficient information. Asking a psychiatrist to talk with the parents (choice B) and separating the child from the parents (choice D) are extreme measures that should only be considered if there is clear evidence of abuse.