While completing an assessment, the nurse learns that the client has been a victim of domestic violence with multiple bruises and a possible fractured arm. Which of the following should the nurse do with this information?
1. Document the assessment findings in the client's medical record.
2. Report the findings of domestic violence to the appropriate regulatory agency.
3. Document the assessment findings and have the client moved to a private room.
4. Notify the physician.
2
Confidentiality is the protection of private information gathered about a client during the provision of health care services. However, the nurse does have the duty to report or disclose information in the event of suspected abuse. The nurse should report the findings of domestic violence to the appropriate regulatory agency. Documenting the assessment findings is important; however, the nurse needs to report these findings. The client does not need to be moved to a private room. Notifying the physician is not sufficient.
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