A Patient with Swelling and a Laceration Above the Right

A patient with swelling and a laceration above the right eye states,"I don't know what caused me to fall and cut my head on the door frame." The patient's spouse appears nervous but smiles when mentioning that the patient is "so clumsy at times." The nurse should give priority attention to which intervention when addressing this patient's needs?

A) Directly asking the patient if spousal abuse is occurring or has ever occurred
B) Completing a thorough assessment that includes a focus on signs of old injuries
C) Interviewing the patient regarding the circumstances surrounding this suspicious fall
D) Notifying security that there is a possibility that this patient is a victim of physical abuse