A practical nurse is assisting with the care of a 32-year-old client in the emergency department who has sustained a fractured wrist. The client looks down and softly states, "I am so clumsy, I just tripped over a rug." The nurse observes that the client's partner is pacing the room aggressively, answering all questions directed at the client, and refusing to leave the bedside. Which action should the nurse take first?
- AWait to notify the charge nurse about the suspected abuse until the healthcare provider confirms the injury pattern is non-accidental.
- Fabricate a routine clinical reason, such as obtaining a urine specimen, to speak with the client privately.Cevap
- CAsk the client directly in front of the partner, "Why are you letting your partner answer all of the questions?"
- DDiscuss the partner's suspicious behavior with the registration clerk in the open triage area to gather more information.
Cevap
Fabricate a routine clinical reason, such as obtaining a urine specimen, to speak with the client privately.
When intimate partner violence is suspected, the immediate priority is to ensure the client's safety and provide a secure, private environment for disclosure. Because the partner is refusing to leave and controlling the conversation, the nurse must use a creative, routine clinical reason to separate the client from the suspected abuser without arousing suspicion or escalating the partner's aggression.
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Anahtar Kavram
Prioritizing client safety and establishing a private environment when intimate partner violence is suspected.