Child Abuse Question

[AlexRusso]

So I had a qbank question about a kid presenting w. bruises and such and you suspect abuse, what do you do?

I said: tell the parents that you need to admit him for overnight observation.

Kaplan said: Tell the parent you are going to report this to the Child Protective Service

Just read the relavan section in BRS. They say that you do need to admit the kid for observation, that you do have to report to the appropriate agency, but you DO NOT need to tell the parents that you are reporting the incident.

Any thoughts? I really feel like I'm going to ass out on this Dr./Pt. relationship and ethical issues part of the exam. I keep getting these damn behavior q's wrong on qbank.

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[flighterdoc]

So I had a qbank question about a kid presenting w. bruises and such and you suspect abuse, what do you do?

I said: tell the parents that you need to admit him for overnight observation.

Kaplan said: Tell the parent you are going to report this to the Child Protective Service

Just read the relavan section in BRS. They say that you do need to admit the kid for observation, that you do have to report to the appropriate agency, but you DO NOT need to tell the parents that you are reporting the incident.

Any thoughts? I really feel like I'm going to ass out on this Dr./Pt. relationship and ethical issues part of the exam. I keep getting these damn behavior q's wrong on qbank.

You tell the parents and they'll go balistic (guilty or not). I'd call CPS and let them deal with it, admit if necessary.

 

[drdrtoledo]

For those types of questions you need to think "outside of reality". Just ask yourself.... what are my legal requirements? In that case you are supposed to tell the parents what you are doing... eventually. The best results I've gotten is when I think about it that way. Don't think about the chaos that will ensue for those questions... think about what you are obligated by law to do. I hope that helps... but you absolutely correct in your reasoning 🙂

 

[Stinger86]

So I had a qbank question about a kid presenting w. bruises and such and you suspect abuse, what do you do?

I said: tell the parents that you need to admit him for overnight observation.

Kaplan said: Tell the parent you are going to report this to the Child Protective Service

Just read the relavan section in BRS. They say that you do need to admit the kid for observation, that you do have to report to the appropriate agency, but you DO NOT need to tell the parents that you are reporting the incident.

Any thoughts? I really feel like I'm going to ass out on this Dr./Pt. relationship and ethical issues part of the exam. I keep getting these damn behavior q's wrong on qbank.

In any case of suspected child abuse or elder abuse, you notify the appropriate agency. You do not confront the parents or caretakers about the issue.

 

[AlexRusso]

In any case of suspected child abuse or elder abuse, you notify the appropriate agency. You do not confront the parents or caretakers about the issue.

Yet Qbank seems to think that you should TELL the parents that you're going to call CPS, as opposed to hospitalizing the kid and telling CPS when the parents aren't around.

 

[dancelover]

I came across that question too. I think the point they are trying to make is that you DO have to notify children's services. The fact that they had you telling the parents about it in the answer was just dumb to include. I agree that telling the parents right then and there is probably only going to make the matter worse. On the other hand, i had a friend who worked at a Children's Hospital for year. If they even slightly suspected something was up, they notified the proper authorities who would show up in the ER shortly after (i'm pretty sure they had people in the hospital just waiting for that kind of call). So i guess it wasn't long in btw. when you make the call and when the parents find out anyway.

 

[flighterdoc]

I came across that question too. I think the point they are trying to make is that you DO have to notify children's services. The fact that they had you telling the parents about it in the answer was just dumb to include. I agree that telling the parents right then and there is probably only going to make the matter worse. On the other hand, i had a friend who worked at a Children's Hospital for year. If they even slightly suspected something was up, they notified the proper authorities who would show up in the ER shortly after (i'm pretty sure they had people in the hospital just waiting for that kind of call). So i guess it wasn't long in btw. when you make the call and when the parents find out anyway.

And usually when CPS has a chat with the parents, security is standing close by.

Just in case.....