As you are working you suspect that another licensed practical nurse is verbally and physically abusing a patient. What is the first thing that you will do?
A- Nothing because you are not certain that it is occurring.
B- Nothing because you only suspect the abuse.
C- Call the police or the security department.
D- Report your suspicions to the charge nurse.
Correct Response: D
Nurses and other healthcare providers are mandated by law to report all suspected abuse and neglect.
You do NOT have to be certain about it; an expert will perform the investigation.
You do not contact the police or the security department; the charge nurse will follow established procedures for notifications not the licensed practical nurse.
In 2006, the WHO recognized child maltreatment as a major public health problem for children in the same way as other chronic diseases. Mistreatment situations would affect between 1% and 5% of children in high-income countries, with frequent association of different types of abuse. Studies that cross-refer to information from adult retrospective surveys and official collection data highlight an under-evaluation of abuse behaviors. In France over the last few years, there has been a stabilization in the number of children concerned, with a decrease in the rate of sexual abuse and an increase in situations of serious neglect and reported emotional abuse. The work of observational epidemiology has made it possible to better define the various risk factors associated with the context of abuse (individual, environmental and family), and to assess the psychic, but also the somatic and social long-term repercussions of child abuse. On the psychiatric level, the association with anxiety disorders, depressive disorders and adolescent behavior disorders is strong, and especially present in girls in case of addiction. Suicide remains the leading cause of death in this population. Beyond their higher prevalence, these disorders are also often more severe, resistant and recurrent. The association with somatic disorders such as obesity or diabetes has been demonstrated, but seems less clear in cases of painful complaints such as digestive complaints or headaches. Socio-professional and medico-economic studies show that the impact extends beyond childhood. Work on early brain development has helped to better understand the mechanisms involved in the repercussions of these traumas on emotional and cognitive development. Vulnerability for later psychopathological disorders is partly modulated by the genetic polymorphism of the subjects that constitute risk or protective factors. The impact on brain development of these environmental contexts would involve epigenetic reworkings of the hormonal system of stress regulation (the hypothalamic-pituitary system) and anatomical structures involved in emotional regulation (such as the amygdala) or inhibitory functions. (as the frontal cortex).
A- Nothing because you are not certain that it is occurring.
B- Nothing because you only suspect the abuse.
C- Call the police or the security department.
D- Report your suspicions to the charge nurse.
Correct Response: D
Nurses and other healthcare providers are mandated by law to report all suspected abuse and neglect.
You do NOT have to be certain about it; an expert will perform the investigation.
You do not contact the police or the security department; the charge nurse will follow established procedures for notifications not the licensed practical nurse.
In 2006, the WHO recognized child maltreatment as a major public health problem for children in the same way as other chronic diseases. Mistreatment situations would affect between 1% and 5% of children in high-income countries, with frequent association of different types of abuse. Studies that cross-refer to information from adult retrospective surveys and official collection data highlight an under-evaluation of abuse behaviors. In France over the last few years, there has been a stabilization in the number of children concerned, with a decrease in the rate of sexual abuse and an increase in situations of serious neglect and reported emotional abuse. The work of observational epidemiology has made it possible to better define the various risk factors associated with the context of abuse (individual, environmental and family), and to assess the psychic, but also the somatic and social long-term repercussions of child abuse. On the psychiatric level, the association with anxiety disorders, depressive disorders and adolescent behavior disorders is strong, and especially present in girls in case of addiction. Suicide remains the leading cause of death in this population. Beyond their higher prevalence, these disorders are also often more severe, resistant and recurrent. The association with somatic disorders such as obesity or diabetes has been demonstrated, but seems less clear in cases of painful complaints such as digestive complaints or headaches. Socio-professional and medico-economic studies show that the impact extends beyond childhood. Work on early brain development has helped to better understand the mechanisms involved in the repercussions of these traumas on emotional and cognitive development. Vulnerability for later psychopathological disorders is partly modulated by the genetic polymorphism of the subjects that constitute risk or protective factors. The impact on brain development of these environmental contexts would involve epigenetic reworkings of the hormonal system of stress regulation (the hypothalamic-pituitary system) and anatomical structures involved in emotional regulation (such as the amygdala) or inhibitory functions. (as the frontal cortex).
