The nurse is conducting a mental health assessment and plans to begin by taking the patient’s health history. Which behavioral clues does the nurse observe upon entering the room? Select all that apply.
- NCLEX Practice
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- Psychosocial Integrity
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- Difficulty: 3
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The emergency room nurse is caring for a patient who ambulated into the triage room wearing sunglasses and a scarf. Upon request, the patient removed her sunglasses and scarf, revealing bruising around her neck and eyes in various stages of healing. The patient became hysterical and stated her husband tried to kill her. Which response by the nurse is the most appropriate?
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