A 16-year-old is brought to the emergency room by her boyfriend with bruising around her eyes and neck. When asked what happened she states, "I walked into a door." What are the most appropriate interventions by the nurse? (Select All that Apply.)

A. Maintain a calm, caring, professional demeanor – This helps establish trust and encourages the client to feel safe discussing sensitive information. B. Ask the teen if she feels safe – Assessing for immediate danger is crucial in cases of suspected abuse. If the client is unsafe, further interventions (such as providing shelter or police involvement) may be necessary. C. Confront the boyfriend about possible abuse – Confronting the boyfriend may escalate the situation, place the client at greater risk, or lead to further intimidation. The nurse's role is to assess and support the client, not to accuse or investigate the abuser. D. Interview the client privately – The presence of the boyfriend may influence the client’s responses. Speaking privately allows for a more accurate assessment of the situation. E. Contact the police – If intimate partner violence (IPV) is suspected and the state mandates reporting for minors, the nurse must notify authorities. If the client is in immediate danger, law enforcement should be contacted.