During the health history, a patient tells the nurse that she is in an abusive relationship and is fearful of getting hurt if her husband finds out that she told the nurse. Which response by the nurse is most appropriate for this patient?
1. "Don't worry. They only strike back when they are angry."
2. "Are you saying that you are in danger?"
3. "I would get an attorney if I were you."
4. "Remember, what goes around comes around."
2
Rationale 1: This answer does not promote the patient's health.
Rationale 2: The nurse needs to clarify what the patient is explaining, and the best response would be to clarify if the patient is saying she is in danger.
Rationale 3: The nurse should not offer legal advice to the patient.
Rationale 4: This statement dismisses the patient's concern for her safety and does not promote her health.
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