A nurse is collecting the medical history of a client. The client reports that they have experienced violence in the past with a previous partner. What is an immediate concern of the nurse?
Explanation & Rationale
A. The client reports that they have no social support system, but has an appointment with a caseworker in two weeks. Lack of a social support system poses a risk for isolation, depression, and potential difficulty accessing resources. Immediate intervention may be required to provide emotional and practical support. B. The client reports that they are experiencing frequent gastrointestinal issues: While important, these may be psychosomatic and can be addressed after ensuring the client’s emotional and physical safety. C. The client reports that they are currently living in a safe place: Being in a safe environment is reassuring and not an immediate concern. D. The client reports that they are currently going to counseling: Ongoing counseling is a positive step toward healing and does not require immediate intervention.