NCLEX-PN

When suspecting spousal abuse, nurses should ensure the victim's separation from the potential abuser to facilitate open communication. Nurses must also be mindful that abusers might linger nearby to prevent disclosure, which itself can be a sign of abuse. Clients who have experienced abuse or who are perpetrators require assessments that consider their physical, psychological, and social needs. For instance, abuse victims may need evaluations for depression and low self-esteem, while perpetrators may require assessments for substance abuse and psychological issues. Elder abuse victims need assessments of their social support systems and coping mechanisms.

Relevant nursing diagnoses for abused children may include: ●​ Acute pain related to physical abuse and injuries ●​ Fear and anxiety related to the threat of punishment ●​ Delayed growth and development due to inadequate care ●​ Imbalanced nutrition due to inadequate care ●​ Risk of shaken baby syndrome related to parental abuse ●​ Insomnia linked to fear and anxiety ●​ Risk of trauma and post-trauma syndrome due to parental abuse ●​ Social isolation because of familial fear of disclosure Appropriate nursing diagnoses for neglected children could be: ●​ Failure to thrive due to fear and anxiety ●​ Delayed growth and development due to inadequate care ●​ Imbalanced nutrition due to inadequate care ●​ Insomnia linked to fear and anxiety ●​ Social isolation due to familial fear of disclosure Relevant nursing diagnoses for victims of spousal or intimate partner domestic violence may include: ●​ Anxiety, fear, and post-trauma syndrome related to threats against self-concept

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