-
A
Confront the suspected abuser directly
-
B
Interview the client ALONE (without the suspected abuser present), in a private, nonjudgmental manner, and assess for safety
-
C
Ignore it unless the client brings it up
-
D
Tell the client to leave the relationship immediately
Why this is the answer
When abuse is suspected, the nurse should interview the client ALONE — separating them from the suspected abuser (who may control or speak for the victim) — in a PRIVATE, safe, NONJUDGMENTAL setting, and assess for safety. NCLEX psychosocial/abuse. KEY ACTIONS: ensure privacy and the abuser is not present; ask directly but supportively; LISTEN without judgment; assess immediate SAFETY and the danger level; document objectively (including the client's own words and visible injuries); provide RESOURCES (hotlines, shelters, safety planning) WITHOUT pressuring the client to leave (leaving is the client's decision and can be the most dangerous time); know mandatory reporting requirements (for children, elders, dependent adults). AVOID confronting the abuser (escalates danger) or pressuring/judging the client. Knowing to interview the suspected victim alone and nonjudgmentally is a heavily tested NCLEX concept.
Source: NCLEX Psychosocial — Suspected Abuse