After treatment for a detached retina, a survivor of intimate partner abuse says, "My partner only abuses me when I make mistakes. I've considered leaving, but I was brought up to believe you stay together, no matter what happens."
Which diagnosis should be the focus of the nurse's initial actions?
a. Risk for injury related to physical abuse from partner
b. Social isolation related to lack of a community support system
c. Ineffective coping related to uneven distribution of power within a relationship
d. Deficient knowledge related to resources for escape from an abusive relationship
ANS: A
Risk for injury is the priority diagnosis because the partner has already inflicted physical injury during violent episodes. The other diagnoses are applicable, but the nurse must first address the patient's safety.
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