A client with a long history of experiencing domestic violence tells the nurse, "There is no way out for me, this situation will never change." What nursing diagnosis would be most appropriate?
1. High Risk for Violence
2. Self-Esteem Disturbance
3. Alteration in Health Maintenance
4. Powerlessness
4
Rationale: Powerlessness is indicated when the client feels an inability to change the pattern or to leave the situation. The victim may experience Health Maintenance problems because of the experienced domestic violence, however, this is not the primary diagnosis. Some victims will experience self-esteem issues, which are secondary to their feeling of having little or no control over their life. The client is not at high risk to express violence, but is rather at high risk to experience it.
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