medium · NCLEX-RN Management of Care
The RN is caring for a client who is a victim of domestic violence. The client's partner is in the room and refuses to leave during the physical assessment.
Which action should the RN take first?
- Call security to forcibly remove the partner from the room immediately.
- Perform the assessment with the partner present to avoid escalating the situation, for this client, in this situation.
- Inform the partner that it is standard hospital policy for the client to be examined alone for a portion of the intake.
- Ask the client if they would like the partner to stay or leave during the exam, for this client, at this point in care.
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