Questions: The nurse is caring for a client in the emergency department who is being treated for extensive soft tissue injuries. Which action is the nursing is most appropriate to support the client's ability to disclose an experience of domestic violence? (A) Talking with the client without her spouse present. (B) Having another healthcare professional present during the nurse's interview (C) Placing responsibility to initiate discussion of violence on the client (D) Providing a safe, supportive, and nonintimidating environment

The answer is A: Talking with the client without her spouse present.

Explanation for each option:

(A) Talking with the client without her spouse present: This is the most appropriate action because it ensures the client can speak freely without fear of repercussions or intimidation from the spouse. It provides a private setting where the client may feel more comfortable disclosing sensitive information, such as experiences of domestic violence.

(B) Having another healthcare professional present during the nurse's interview: While having another professional present might provide additional support, it could also make the client feel intimidated or less willing to disclose personal information. Privacy is crucial in these situations to encourage open communication.

(C) Placing responsibility to initiate discussion of violence on the client: This is not appropriate because clients may not feel empowered or safe enough to bring up the topic of domestic violence on their own. It is important for healthcare professionals to create an environment where the client feels supported and encouraged to share their experiences.

(D) Providing a safe, supportive, and nonintimidating environment: While this is important, it is a general approach rather than a specific action. Creating such an environment is essential, but it should be combined with specific actions like ensuring privacy (as in option A) to effectively support the client's ability to disclose domestic violence.