Documentation of abuse can be useful to women later in court,should they elect to press charges.It is of key importance for the nurse to document accurately at the time that the client is seen.Which entry into the medical record would be the least helpful to the court?

Question

Quizplus · Accepted Answer

A statement such as,"The client is a battered woman" lacks the supporting factual information and will render the report inadmissible.More appropriate documentation would include exact statements from the woman in quotations (e.g.,"My husband kicked me in the stomach").The time and date of the examination should also be included.

Documentation of Abuse Can Be Useful to Women Later in Court,should