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Nurse practitioners are in a pivotal position to identify and to assist adult survivors of child sexual abuse. An awareness of the definitions, prevalence, and dynamics of sexual abuse is essential for providing holistic care. This article outlines the nurse practitioner's role in working with clients cf either sex who may have been sexually abused as children. Correlates of undisclosed childhood sexual victimization are identified, as are strategies for providing a theraputic environment for clients to disclose their abuse experience and begin the healing process.