Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

(^318) 4. Determine whether the nature of the injuries warrants re- 3. Use games or play therapy to gain child’s trust. Use these 2. Conduct an in-depth interview with the parent or adult who abuse and neglect may be found at http://www.childwelfare.behaviors. Individual state statues regarding what constitutes child required in order to provide appropriate care for the client.jured as a result of physical, mental, emotional, or sexual accompanies the child. the decision of whether to report suspected child abuse. porting to authorities. Specifias an accident, is the explanation reasonable? Is the injury consistent with the explanation? Is the injury consistent with the child’s developmental capabilities? made if there is reason to suspect that a child has been in-or loss of child custody may place the abusive parent on the defensive. Discrepancies may be evident in the description of the incident, and lying to cover up involvement is a common tempt to discuss these painful issues.gov/systemwide/laws_policies/state/. techniques to assist in describing his or her side of the story. Establishing a trusting relationship with an abused child is extremely diffithreatening environment that may enhance the child’s at-touched. These types of play activities can provide a non-defense that may be detectable in an in-depth interview.^ ●^ SPECIAL TOPICS IN PSYCHIATRICAn accurate and thorough physical assessment is cult. The child may not even want to be Consider: c state statutes must enter into If the injury is being reported A report is commonly Fear of imprisonment

2506_Ch17_310-319.indd Sec1:318 2506 Ch 17 310 - 319 .ind • Additional information related to child abuse may be located 3. Client is demonstrating a decrease in regressive behaviors. 2. Client demonstrates trust in primary nurse by discussing 1. Client has received immediate attention to physical injuries. INTERNET REFERENCESOutcome Criteriad S b. http://endabuse.org/forcement agency.report cases of suspected child abuse: all health-care work-ers, all mental health therapists, teachers, child-care pro-viders, fiof a discrepancy or inconsistency in explaining a child’s abuse. “Reason to suspect” exists when there is evidence abuse through the use of play therapy.injury. Most states require that the following individuals and law enforcement personnel. Reports are made to the Department of Health and Human Services or a law en-at the following websites: a. http://www.childwelfare.govec 1 : 318 refi ghters, emergency medical services personnel,^1 10/1/10 9:37:17 AM 0 / 1 / 10 9 : 37 : 17 AM