The nurse suspects that a home care client is experiencing the tension-building phase within the cycle of violence. What observations caused the nurse to make this clinical determination? Select all that apply
1. Spouse ignoring the client
2. Spouse yelling at the client
3. Client asking the nurse to leave
4. Client apologizing to the spouse
5. Spouse throwing items at the client
2, 3, 4
Explanation:
1. During the tension-building phase of the cycle of violence the batterer demonstrates power and control. Ignoring the client could occur during the tranquil loving phase.
2. During the tension-building phase of the cycle of violence the batterer demonstrates power and control which is characterized by anger and arguing.
3. During the tension-building phase of the cycle of violence the batterer demonstrates power and control; however, the woman may believe the escalation of anger can be controlled by her own actions. Asking the nurse to leave would be a controllable action.
4. During the tension-building phase of the cycle of violence the batterer demonstrates power and control; however, the woman may blame herself and apologize for her actions.
5. Throwing things at the client would occur during the acute battering incident.
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