NCLEX · General

A nurse suspects that a client may be a victim of domestic abuse. What is the most appropriate nursing action?

Correct answer

Interview the client ALONE (without the suspected abuser present), in a private, nonjudgmental manner, and assess for safety

  1. A Confront the suspected abuser directly
  2. B Interview the client ALONE (without the suspected abuser present), in a private, nonjudgmental manner, and assess for safety
  3. C Ignore it unless the client brings it up
  4. 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

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