Substance Abuse and Abuse Q 49
The interventions common to treatment plans for survivors include which of the following? Select all that apply.
A. Establish trust and rapport.
B. Identify areas of control.
C. Remove the client from home.
D. Support the client in the decisions he/she makes.
E. Encourage the client to pursue legal action.
Correct Answers: A, B, & D
Identifying areas of control empowers the client. Supporting the client in the decisions he/she makes empowers the client and enhances the client’s current problem-solving ability. Establishing trust and rapport provides the client with an ally.
Option A: Encourage expression of concerns and fears of child regarding environment and management; Grant questions and provide honest explanations and communication at the level of child’s age. Provides an opportunity to release feelings that can decrease anxiety.
Option B: Demonstrate affection and acceptance of the child even if not returned or ignored; avoid reinforcing any negative behavior. Promotes trust of staff and positive behavior of the child. Provide consistent staffing for the child, preferably those who seem to relate well to the child. Promotes familiarity and trusting relationships with staff.
Option C: Initiate referrals to social services, parenting classes, or counseling as appropriate. Inform parents that child protection services have been contacted to investigate the child’s health status and safety; keep the parents informed of the child’s health status (unless or until custody of the child is removed from the parents. Provides options if parenting is unsatisfactory or inadequate.
Option D: 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.
Option E: 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.