Proper Documentation of the Abuse as Reported by the Victim

question 9

Multiple Choice

Proper documentation of the abuse as reported by the victim is a crucial role of the nurse.Evaluate the following data,which include information from the victim,and choose the best documentation by the nurse.A 34-year-old Caucasian arrives at the emergency department with a black right eye;she also is bleeding from the left side of her head.She reports that her boyfriend has been abusing her physically.The nurse performs a history and physical examination and documents her findings.

• A)"Client alleges that her boyfriend beat her up."
• B)"Client reports that her boyfriend hit her in the eye and head."
• C)"Client is a 34-year-old Caucasian female.Presents with periorbital ecchymosis on right side.Laceration of left parietal area,3 cm long with tissue bridging.Approximately 1 cm deep.Client states that her boyfriend 'threw a brick from 10 feet away,aiming at my head.The corner of the brick hit the left side of my head.' She reports that he also 'hit me in the eye.' Client indicates that the hit was with her boyfriend's closed left fist."
• D)"Client presents with a black eye and a cut on the left side of her head.Reports being abused."

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Definitions:

Personality

A complex pattern of characteristics, traits, and behaviors that distinguishes one individual from another and affects how they interact with the world.

Behavior

The actions or reactions of an object or organism, often in relation to its environment.

Anterior Cingulate

The front part of the cingulate, a brain structure that runs from the front to the back of the brain in the middle, just above the corpus callosum. The anterior cingulate is believed to be important for the experience of normal emotion and self-control.

Discrepancy

A difference or inconsistency between two or more elements, such as expectations versus reality.