NCLEX-RN

Category - Psychosocial

A nurse in the emergency department is caring for a client who has been physically battered by her husband. She tells the nurse that she wants to leave him, but she has no place to go. The nurse gives first priority to which of the following actions?
  1. Remove the client from immediate danger
  2. Refer the client for psychotherapy
  3. Refer the client to a social worker
  4. Notify the police
Explanation
Answer: A - The nurse’s priority when caring for a client in an abusive environment is to determine if the client is in any immediate danger. Referring the client to the social worker and notifying authorities are appropriate, but they are not the nurse’s first priority.
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