The nurse is caring for a 34-year-old woman,who was admitted to the hospital with multiple rib fractures.The patient states,"I fell down the stairs.It was all my fault.I can be so stupid at times." The nurse notices healing bruises on the patient's back and buttocks.The patient's husband seems very caring,always holding her hand and often answering questions for her.The nurse should do which of the following?

Question

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If you suspect abuse,interview the patient privately.A patient will probably not admit to problems of abuse with the abuser present.Sexual abuse,assault,and rape are also stressors that affect self-concept.Be alert to clues that suggest abuse.In addition,observe the interaction between the patient and partner for additional clues.Controlling behaviors such as speaking for the person or refusing to leave him or her alone with a caregiver are suggestive of emotional and perhaps physical or sexual abuse.

The Nurse Is Caring for a 34-Year-Old Woman,who Was Admitted