When abuse is suspected, nurses are required to report their assessment findings to the appropriate authorities.

Rationale:

A. Part-time care refers to the frequency or duration of services but does not specify the level or type of care provided. While the nurse is providing care part-time in terms of hours, the defining factor here is the nature of the care, not just the schedule.

B. Skilled care is correct. Skilled care involves services that require the expertise of a licensed nurse or therapist, such as wound care, intravenous therapy, medication management, or assessment and monitoring of a complex condition. Medicare covers skilled care when it is medically necessary and provided on a planned schedule. In this scenario, the nurse is providing care over two hours per day, three days a week, for 60 days, meeting criteria for skilled nursing services in a home health setting.

C. Interdisciplinary care involves collaboration among multiple healthcare professionals, such as nurses, physicians, physical therapists, and social workers, to manage a patient’s care. While interdisciplinary care may occur in this context, the scenario specifically describes nursing services provided to the client, making skilled care the more precise answer.

D. Telehealth refers to the remote delivery of healthcare services via telecommunications technology. The scenario describes in-person nursing care, not remote monitoring or consultation, so telehealth is not applicable.

Rationale:

A. Many women hope the abuser will modify their behavior over time. This belief may stem from periods of calm or apologies between abusive episodes, creating intermittent reinforcement that fosters hope and attachment despite ongoing harm.

B. Victims often internalize the abuser’s manipulative messaging, believing their actions or failures trigger the abuse. This self-blame reinforces feelings of shame and guilt, making it harder to seek help or leave.

C. Separation can increase the risk of severe violence, stalking, or homicide. Women may stay to protect themselves or their children, believing that leaving could provoke a dangerous retaliation.

D. Economic dependence, lack of family or social support, and limited access to shelters or affordable housing are significant barriers. Even when emotionally ready to leave, practical constraints can trap women in unsafe environments.

E. Some women feel responsible for “fixing” their partner or believe that counseling, emotional support, or love can stop the violence. This sense of responsibility often prolongs the abusive relationship.