…………I upload the case study I prefer (Child Abuse Case Study)………..Review the Week 3 Ca


…………I upload the case study I prefer (Child Abuse Case Study)………..Review the Week 3 Case Studies by opening the links below.Child Abuse Case Study (Links to an external site.)Senior with Dementia Case Study (Links to an external site.)Maternal Child/Developmental and Mental Illness Case Study (Links to an external site.)Choose one of the three attached case studies, and reflect on the vulnerable population that the case study portrays.Identify which case you chose.Discuss several risk factors that may impact health outcomes for the vulnerable population in your case study.Identify one agency in your community that can assist this vulnerable group and assess this agency in terms of the 4 A’s (see the lesson). Discuss each of the A’s separately to assess accessibility, acceptability, affordability, and availability for this population.

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Chamberlain College of Nursing
NR443/435/436: Week 3 Case Study
Week 3 Case Study: Child Abuse
This case study provides you with an opportunity to immerse yourself in the role of a community health
nurse and examine primary, secondary, or tertiary prevention strategies related to a population health
problem. As you work through the case, reflect on what you have learned from this course about
community health nursing, and apply it to this scenario.
Your Role
You are working as a community health nurse in your local health
department. One of your roles with the health department is to
case manage pregnant women who are on Medicaid. You continue
to work with an interdisciplinary team both within and outside the
Team Members
• Anne, a fellow nurse with the health department, is on medical leave, so you have been
assigned this case.
• Christina is a social worker with the health department.

Tracey is a case worker from Child Protection Services.

Mark is a dietician with the local WIC (Women, Infants, and Children) office.
The Case
You are assigned to a new case. Marissa is 15 years old and is pregnant with her first child. Marissa lives
with her mom and her five siblings in a two-bedroom apartment. You arrive to your first visit, and a
young boy, Marissa’s brother, who is about 5 years old answers the door. He lets you in to find Marissa
sleeping on the couch. There is also another couch where her 10-year-old sister is sleeping. Even though
the apartment is dark and everyone seems to be sleeping, you decide to continue with the visit as
Marissa wakes up and is willing to participate.
As you are getting to know her, more of the family wakes up, and you can now hear whom you assume
is her mother yelling at one of her siblings. You continue talking to Marissa, but her mother is getting
louder and all of a sudden you hear three smacking or hitting noises. They are in a back bedroom, so you
do not see anything, but you hear a child crying and her mother telling the child to “shut up” or he will
get “more.” Marissa tells you her siblings range from 3 to 12 years old.
As you leave the visit, you know that Marissa, as well as her mother, need additional support and
education regarding parenting and proper forms of discipline. As a nurse, you know you are a mandated
reporter, so you go back to your office and research child abuse and Child Protective Services (CPS). You
decide to talk with your team about what just happened, too. Your team agrees that Tracey, from CPS,
needs to be notified.
Next, please go into the Week 3 Discussion, and answer the prompts.
NR 443/435/436 Week 3 Case
1/2018 MM LS

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