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.
2Tell the client to leave the relationship immediately.
3Ignore the findings unless the client asks for help.
4Find a way to speak with the client privately and assess safety.✓ Correct answer
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.
Clinical Judgment Safety screening must be private when control or intimidation is possible.
Memory Tip IPV: separate, ask, assess safety.
Clinical Practice GuideIPV care includes private screening, validation, immediate safety assessment, resources, and mandatory reporting when applicable.
CautionDo not confront the suspected abuser in front of the client.
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.