Situation: A 6-year-old is admitted to the pediatric ward wi… | 마이메르시 MyMerci
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Nursing Practice II — Maternal and Child Health Nursing
문제

Situation: A 6-year-old is admitted to the pediatric ward with a fractured femur. The account given by his stepfather does not match the injury, and the physician suspects physical abuse. The child's mother is not a suspect. The nurse applies the Special Protection of Children Against Abuse, Exploitation and Discrimination Act (RA 7610). The stepfather tells the nurse that he will sue her if she reports him. Which statement BEST explains the nurse's legal position?

해설
Under the rules on reporting child abuse, persons who report in good faith are free from civil or administrative liability, and good faith is presumed. The protection does not depend on abuse being proven or on anyone co-signing the report. It exists so that fear of a lawsuit does not stop a report that may keep a child safe.
같은 주제 다음 문제Situation: A nurse works in the newborn nursery and the neonatal intensive care unit (NICU…이 문제가 수록된 문제집PLNE Question Bank 150014,000원 · 무료 체험 가능

심화 해설

A 6-year-old with a fractured femur and a history that does not match the injury raises a red flag for physical abuse. In this situation, the nurse is a mandated reporter under RA 7610 (Special Protection of Children Against Abuse, Exploitation and Discrimination Act). The stepfather’s threat to sue creates a legal dilemma, but the law anticipates this and provides a specific safeguard for reporters.



Legal protection for good-faith reporting


Under child abuse reporting laws, a reporter who acts in good faith is shielded from civil and administrative liability. This means the nurse does not need to wait for proof that abuse actually occurred, nor does she need a co-signature from the physician. The protection attaches at the moment the report is made, based on the reporter’s honest belief that abuse may have occurred.



Good faith is presumed under the law; the nurse does not have to prove it first. The burden is not on the reporter to demonstrate good faith before being protected. Instead, the law presumes good faith so that fear of retaliation does not prevent a report that could protect a child. This is why option 1 is incorrect: the nurse is protected because she reports in good faith, not once she proves she acted in good faith.



Watch out! The protection is not conditional on the outcome of a later court case. Even if abuse is never proven, the reporter who acted in good faith remains protected. Option 4 is therefore incorrect because it ties protection to a future legal finding.



Key point! The attending physician’s co-signature adds nothing to the nurse’s legal protection. The duty and the protection belong to each mandated reporter individually. Option 2 is incorrect because the law does not require a co-signer.



Why this matters in nursing practice


Mandatory reporting laws exist to prioritize child safety over confidentiality or fear of litigation. The legal framework recognizes that reporters are often working with incomplete information. A nurse who sees a suspicious injury must report promptly; waiting for certainty would put the child at continued risk.



In the context of RA 7610, the nurse’s legal position is strongest when she makes the report in good faith, based on a reasonable suspicion. The law does not require her to be right—only to be honest in her concern.



OptionWhy it is incorrect
1. Protected once she proves good faithGood faith is presumed; she does not need to prove it first
2. Protected if physician co-signsNo co-signature requirement exists; each reporter is independently protected
4. Protected once abuse is proven in courtProtection does not depend on a later legal outcome


The correct answer is that the nurse is protected because she reports in good faith. The protection exists precisely so that a threat of a lawsuit does not silence a report that may keep a child safe. The stepfather’s threat does not change the nurse’s legal duty or her legal shield.

임상 시나리오

Good-Faith Reporting Under RA 7610Legal protection starts at the time of the report

A nurse who suspects child abuse is a mandated reporter under RA 7610. Protection from civil or administrative liability applies when the report is made in good faith.

Good faith is presumed. The nurse does not need to prove good faith first, obtain a physician co-signature, or wait for abuse to be proven in court.

Caution

Protection is not conditional on a later court outcome. Even if abuse is never proven, a reporter who acted in good faith remains protected.

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