Also, if the father is a nurse or works in a home for the elderly, what can he do to receive child support?
There is no simple answer. In my experience as a lawyer handling family law matters and divorce cases, I have never seen an easy solution to these issues. If you are required by law to pay child support from your paycheck, then those payments need to be made on time and correctly signed-off for taxes. You can continue receiving those checks even if you do not see them as long as they are being deposited properly into your bank account per state guidelines.
If you decide that it would be best for both of you financially if your relationship ended amicably without going through either legal action or arbitration – then with some effort on all of our parts – we may be able to find a way forward that works both legally and ethically for everyone involved in this very personal situation.