During the nurse's assessment of a new patient on a medical unit, the patient confides in the nurse that her husband often "slaps me around" after he has been drinking. What action should the nurse take in response to this statement?
A) Ask the patient to write down descriptions of these instances and make these documents part of the patient's medical record.
B) Discuss with the patient the possible triggers that set off her husband's behavior.
C) Report the patient's statement promptly to the appropriate authorities.
D) Elicit further detail from the patient to determine the validity of her accusation.
Ans: C
The nurse's responsibility in cases of suspected abuse is to report the allegations. It is not the nurse's responsibility to determine validity, encourage a written statement, or counsel the client on the dynamics of the abuse.
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