A nurse is preparing to gather a health history of a client. Which questions can elicit disclosure if a client has been abused? Select all that apply.

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The US Preventive Service Task Force recommends routine screening to detect current or past abuse, and risk of abuse. Most survivors do not report violence to health-care workers without specifically being asked about it. Survivors may be reluctant to report abuse due to shame and fear of retaliation. Asking specific abuse screening questions has been shown to increase the detection of abuse substantially. Questions should be open-ended and clients need time to disclose the abuse. Clients need to know the nurse is listening, believes them, and is concerned for their safety and well-being. Asking the client to tell the truth means the nurse does not believe the client's response. By telling the client, "You appear distracted," the nurse is not allowing time for the victim to discuss at the client's own pace.

A Nurse Is Preparing to Gather a Health History of a Client