Introduction The nursing professional code of ethics summarizes the professional act in nursing as functioning on inter and intrapersonal interactions with the patients. However, there are ethical dilemmas that often arise. For instance, a nurse may face two ethical dilemmas in handling a victim of child abuse. In the stance of sexual abuse of a minor, the main ethical dilemmas may arise out of autonomy and beneficence. A patient has fundamental autonomy right for confidentiality. At the same time, it is of beneficence to reveal some information to a parent to facilitate the healing and future protection of such a minor (Fowler, 2010). This paper summarized ethical dilemmas, the role of nurses, ethical principles, and the ethical decision-making model for handling a child abuse victim from a nursing perspective. Autonomy and Beneficence Dilemmas In a case of sexual abuse of a minor, a nurse may be faced with two ethical dilemmas. The first dilemma would be whether to inform the parent or guardian of the victim as a measure for ensuring maximum support and protection to ensure quick recovery (Fowler, 2010). At the same time, every patient has the basic fundamental right of confidentially (autonomy) in deciding on who is to share some information, apart from the nurse (American Nurses Association, 2010). From the first dilemma, the element of beneficence aims to benefit the victim through protection and parental support. The second ethical dilemma is the betrayal of the autonomy of the victim by revealing information to the parents, even when the minor is opposed to it. Therefore, a nurse has to balance these dilemmas in handling such a situation. In the above example, a nurse has to apply rational judgment to analyze the extent and threats when making decisions in the best interest of the victim of child abuse. Ethical Principles Related to Child Abuse The main ethical principles related to child abuse include confidentiality, rationality, effective communication, respect, and maximum support to fasten the recovery process (Fowler, 2010). These principles form the strength of a successful nursing intervention when handling a child abuse case. These positive ethical principles are achievable through action-oriented respect, mutual coexistence, and deeply entrenched social values, which are vital in the nursing intercession (Judith, Baile, Anderson, & Docherty, 2011). The ethical relationship in the nursing practice revolves around exercising rational judgment in course of actions when dealing with the victim of child abuse to make such actions ethically correct. Therefore, a nurse handling a child abuse case has the responsibility of maintaining confidentiality, professionalism, and due care within the confines of what is morally upright. Caring for a Victim of Child Abuse In caring for a victim of child abuse, nurses have several roles. The first role is bonding with the victim to gain trust and create a friendly interactive environment as a strategy for reducing fear as a result of trauma. The second role would be an observation of the verbal and nonverbal communication from the victim to guarantee an accurate diagnosis. The third role is the identification of the form of abuse through direct interaction with the victim. Where necessary, the nurse has the role of informing the parent of t