A young female client comes into the emergency department with vague physical symptoms and does not make eye contact with the nurse during the interview. In order to best assess the client, what should the nurse ask the client?
1. "Can you tell me what's been going on in your life lately?"
2. "What kind of problems are you having?"
3. "Is someone hurting you?"
4. "Can you explain what your family life is like?"
Correct Answer: 3
Rationale 1: Generalized questions about life do not adequately address the client's needs during this assessment.
Rationale 2: Generalized questions about life problems do not adequately address the client's needs during this assessment.
Rationale 3: A nurse who works with women should explicitly ask if the young adult is frightened or hurt by someone she knows. It is essential that nurses make assessment for domestic violence part of their routine.
Rationale 4: Generalized questions about family life do not adequately address the client's needs during this assessment.
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