The nurse is admitting a client at 28 weeks' gestation to the Emergency Department following an episode of domestic abuse resulting in ecchymosis and lacerations. Which question is most critical to ask?
1. "What did you do to make your spouse so angry?"
2. "How many times has this happened in the past?"
3. "Do you have a safe place that you can go?"
4. "Will you be pressing charges against your spouse?"
3
Rationale:
1. This statement is blaming, and must be avoided to establish a trusting therapeutic relationship with an abused client.
2. Although domestic abuse tends to increase in frequency and violence during pregnancy, this is not the highest priority.
3. This question is the highest priority because having a safe place to go after leaving the hospital reduces the risk of repeated attack and further injury to both mother and fetus.
4. Legal issues are a low priority at this time. Physiologic issues such as safety in the future have more important.
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