A married woman comes to the clinic for her annual well-woman physical examination. During the interview with the practical nurse (PN), the client makes minimal eye contact. The PN observes yellow bruising to the lower eye and purple bruising on the client's upper arm, which look like fingerprints. Which question is best for the PN to ask the client?

A. Is there something you want to tell me?: This question is vague and may not elicit a clear response regarding potential abuse. The client may not recognize this as an opportunity to disclose harm. B. Is anyone hurting you?: This direct, nonjudgmental question focuses on safety and gives the client an opportunity to disclose abuse. Observed bruising patterns and minimal eye contact are warning signs of intimate partner or domestic violence, making direct inquiry essential. C. How is your marital relationship?: While exploring relationships can provide context, this question is indirect and may not prompt the client to disclose abuse. It may also allow the abuser’s influence to remain unchallenged. D. Do you want to see a social worker?: Offering resources is important after disclosure but is premature if the client has not been directly asked about potential harm. Immediate assessment of safety takes priority over referral.