During a nursing history before a physical exam, a nurse identifies a client as being in a violent relationship. The most important intervention by the nurse at this time is to
A) ask the physician to order a series of x-rays to look for old broken bones.
B) call the police if the abusive partner is in the waiting room.
C) help the woman develop an individual plan to diminish future abuse.
D) refer her to the local battered women's shelter.

Question

Quizplus · Accepted Answer

The priority intervention at this time is to help the woman develop an individualized plan to avoid future abuse. The emphasis must be on safety because the woman has a high risk for significant injury or death. Part of the safety plan can include information on shelters available in the local area, but referral to a shelter does not diminish the nurse's responsibility to help the woman remain safe.

During a Nursing History Before a Physical Exam, a Nurse