During a well-woman exam, if a client exhibits yellow and purple bruising, what is the best question for the practical nurse (PN) to ask?

In a scenario where a client presents with yellow and purple bruising during a well-woman exam, it is crucial to assess the potential for domestic violence or abuse. Bruising of this nature can raise concerns about the safety and well-being of the client. Asking if anyone is hurting her directly addresses the possibility of abuse, allowing the nurse to evaluate the situation sensitively and appropriately.

This question creates a safe space for the client to disclose any abuse or violence she may be experiencing. It demonstrates a level of compassion and understanding, which can be pivotal in encouraging the client to open up about her circumstances. Prompting with a direct inquiry about personal safety and potential harm can lead to essential support and resources for the client if she needs them.

The other questions, while useful in different contexts, do not focus directly on assessing the risk of abuse or violence. Inquiring about recent injuries, medications, or home safety does not prioritize the immediate concerns that bruising can raise in a clinical setting. Concentrating on the aspect of potential harm from others aligns with best practices for patient assessment and safety in situations where abuse might be a consideration.