An adult client arrives with a companion who holds the client's identification, answers every question, and refuses to leave the bedside. The client appears fearful. Which action should the nurse take first?
1Confront the companion about suspected trafficking in front of the client
2Ask the companion to complete a detailed social history for the client
3Contact law enforcement before attempting a private health assessment
4Arrange a private interview using a professional interpreter if needed✓ Correct answer
Explanation
A controlling companion and inability to speak freely are possible trafficking indicators. The nurse should create a safe, nonjudgmental opportunity to speak with the client privately and use a professional interpreter when needed rather than relying on the companion.
Quick answer Separate the client safely from the companion and conduct a private, trauma-informed interview. Use a professional interpreter if language support is needed.
Why this is correct Privacy allows the client to answer without surveillance or coercion. A calm, choice-centered assessment can identify immediate needs and connect the client with appropriate resources without forcing disclosure or escalating danger at the bedside.
Easy analogy or mental picture A private interview is like moving a confidential conversation out of a room with a live microphone. Removing the observer can make honest communication possible, but the analogy does not capture the safety planning, trauma response, and legal duties that vary with the situation.
Memory hook Controlling companion plus fearful client means create privacy, use a professional interpreter, and avoid forced disclosure.
NCLEX decision rule When trafficking is possible, choose safe separation and a private, nonjudgmental assessment before confrontation or broad disclosure. Follow local reporting duties and emergency procedures after assessing age, immediate danger, and the client's circumstances.
Why the other choices are wrong Public confrontation can increase danger. Letting the companion supply the history preserves control, and contacting law enforcement before a private assessment may remove the client's voice unless an immediate threat or reporting duty requires action.
References
[1]
NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing
[2]
HHS: Human Trafficking Information for Health Care ProvidersU.S. Department of Health and Human Services