The community health nurse is working with a 17-year-old mother of two. Evidence of spousal abuse is confirmed. The nurse knows that:
1. It is unethical to confirm the diagnosis with the client.
2. Part of the primary goal is to assist the woman to feel empowered.
3. The nurse should become a source of control in the client's life.
4. The nurse should make immediate decisions for the client.
Answer: 2
Explanation: 2. Once the diagnosis of abuse is made, the primary goal is to assist the woman to reestablish a feeling of control and to empower her to change the situation. If there is evidence of abuse, it is unethical for the nurse not to confirm this diagnosis with the client. The nurse should not become a source of control for the client but the nurse should assist the woman to reestablish a feeling of control herself. The client should be assisted and encouraged to make her own decisions.
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