A client arrives with bruises at different stages of healing… | MyMerci
Mental Health ConceptsPSI
Question
A client arrives with bruises at different stages of healing. The partner answers all questions for the client. What should the nurse do first?
1Ask the partner whether the client is safe at home.
2Find a way to speak with the client privately and assess safety.✓ Correct answer
3Tell the client to leave the relationship immediately.
4Ignore the findings unless the client asks for help.
Explanation
Possible intimate partner violence requires private, trauma-informed assessment of safety. Asking in front of the partner can increase danger and may prevent honest disclosure. The nurse should assess immediate risk and follow facility reporting and safety procedures.
In-depth explanation
Clinical Judgment Safety screening must be private when control or intimidation is possible.
Memory Tip IPV: separate, ask, assess safety.
Clinical scenario
Clinical Practice Guide IPV care includes private screening, validation, immediate safety assessment, resources, and mandatory reporting when applicable.
Caution Do not confront the suspected abuser in front of the client.
Key concepts
Intimate Partner Violence — Physical, sexual, psychological, or controlling harm by a current or former partner.
Safety Assessment — Evaluation of immediate danger and protective options.
Trauma-Informed Care — Care that emphasizes safety, choice, collaboration, trust, and empowerment.