medium · NCLEX-RN management

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?

  1. Call security to forcibly remove the partner from the room immediately.
  2. Perform the assessment with the partner present to avoid escalating the situation, for this client, in this situation.
  3. Inform the partner that it is standard hospital policy for the client to be examined alone for a portion of the intake.
  4. 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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