Substance Abuse and Abuse Q 42
Mariefer is studying about abuse for the upcoming exam. For her to fully instill the topic, she should know that the priority nursing intervention for a child or elder victim of abuse is:
A. Assess the scope of the abuse problem.
B. Analyze family dynamics.
C. Implement measures to ensure the victim's safety.
D. Teach appropriate coping skills.
Correct Answer: C. Implement measures to ensure the victim’s safety.
The priority intervention when a child or elderly person is involved in a situation of abuse is establishing the safety of the victim. Legislation in most states mandates the reporting of such abuse to ensure prompt intervention and safety. One of the first nursing intervention priorities for action after someone has been found to be a victim of abuse is to provide a safe environment. When a report of abuse is made by the nurse to CPS, a caseworker will decide whether or not the report warrants an investigation. If a child is in immediate danger, he/she will be removed from the home and placed in either the home of a relative or in the foster care system. There are also organizations like Stop Abuse of Elders, or SAFE, which is based in Maryland, that can be used for crisis intervention when an elderly person is in danger. They can refer the victim to a shelter or safe house until more long-term measures can be taken.
Option A: The signs of abuse that can show up in a vulnerable child or elderly person are almost endless. Besides the obvious physical signs like a black eye, bruising, or frequent fractures, there can be depression and lack of motivation, a sudden drop in grades or change in personality or behavior, insomnia, and social isolation. Nurses must be aware of all the possible signs and also of the appropriate interventions to be made.
Option B: The question is asking about implementing a specific nursing action, not assessing the problem or analyzing the family dynamics. It is mandated by the Child Abuse Prevention and Treatment Act, or CAPTA, for healthcare professionals to report any suspected incidents of child or elder abuse to a state agency, like Child Protective Services (CPS) or a similar local agency. Many states have hotlines that can be used to report an issue anonymously and confidentially. Abuse or neglect can also be reported to members of law enforcement.
Option D: Teaching coping skills are important; however, the priority action involves ensuring safety. Provide a play program with other children; set aside time to be alone with the child or quiet time for the child as well; praise the child or reward with a special treat when appropriate. Modifies negative behavior by promoting interactions with others and rewarding desired behaviors; promotes self-esteem.