The nurse is caring for a 27-year-old female who presents to the ED with a fractured arm along with multiple bruises in various stages of healing around her left eye and chest. The client implies an intimate domestic partner inflicted her injuries. Which statement by the nurse is most appropriate?

  • “Why do you stay with a person like that?
  • “Are you in need of an immediate place for safety?”
  • “Why did he hit you?”
  • “You need to report your partner to the police.”
Number 2 is correct.
Safety of the client is a primary concern. While domestic abuse of an adult female does not require reporting to a federal agency, the nurse is in a position to intervene with the client. Other responses are nontherapeutic communications that fail to promote a constructive relationship with the client.