During a home visit, a child with a disability experiences seizures, and the parent provokes episodes through harsh verbal exchanges. Where should the nurse direct a referral?

During a home visit, a child with a disability experiences seizures, and the parent provokes episodes through harsh verbal exchanges. Where should the nurse direct a referral?

• A. Child protective services
• B. School counselor
• C. Community mental health center
• D. Emergency department

Answer: (A)

Mandatory reporting of suspected child abuse or neglect is required when a caregiver’s actions harm a child, including emotional abuse. In this scenario, the parent deliberately provokes seizures in a child with a disability through harsh verbal exchanges, creating ongoing risk and harm. The nurse should direct a referral to Child Protective Services so trained investigators can assess danger, ensure safety, and connect the family with protective and supportive services. Other options may help with support or treatment in different contexts—such as school-based concerns, mental health care, or acute medical crises—but they do not fulfill the protective mandate when there is likely ongoing abuse at home. Document objective observations, report promptly, and follow agency protocols to safeguard the child.

Mandatory reporting of suspected child abuse or neglect is required when a caregiver’s actions harm a child, including emotional abuse. In this scenario, the parent deliberately provokes seizures in a child with a disability through harsh verbal exchanges, creating ongoing risk and harm. The nurse should direct a referral to Child Protective Services so trained investigators can assess danger, ensure safety, and connect the family with protective and supportive services. Other options may help with support or treatment in different contexts—such as school-based concerns, mental health care, or acute medical crises—but they do not fulfill the protective mandate when there is likely ongoing abuse at home. Document objective observations, report promptly, and follow agency protocols to safeguard the child.