When an elderly patient is brought into the Emergency Department by family members who reported a fall the nurse became suspicious that the patient had suffered physical abuse. The patient denied that she had been abused. Her denial is most likely based on her.

A. "I will help you leave this relationship" is not an appropriate response because it assumes the nurse knows what is best for the patient and does not respect her autonomy or immediate choices. The patient has clearly stated she does not want to leave the relationship at this time.
B. "You need to report your husband to the police" is an invasive and potentially coercive statement. While reporting abuse is important, the nurse should provide information and support, not force actions the patient may not be ready to take. Pressuring her could escalate the situation and harm the patient’s trust in healthcare providers.
C. "Let's develop a safety plan for repeated violence" is the most supportive and patient-centered response. It acknowledges the reality of the abuse while offering a non-judgmental, practical approach to help her stay safe. The nurse is giving the patient the option to make informed decisions about her safety, which is empowering.
D. "Here is a list of services that can help you" is helpful, but it lacks the active engagement the patient may need. Developing a personalized safety plan is more immediate and relevant for someone experiencing ongoing abuse.

A. Memory impairment is a common symptom of mild cognitive impairment (MCI). People with MCI often experience forgetfulness or difficulty with memory, but the impairment is typically not severe enough to interfere with daily functioning.
B. Does not interfere with ADLs and socialization is also true for MCI. While individuals with MCI may notice some cognitive decline, it typically does not interfere significantly with activities of daily living (ADLs) or social interactions.
C. Does not interfere with general cognitive functioning is true for MCI as well. Cognitive decline in MCI is typically more subtle and does not significantly impair overall cognitive function in the way that more severe dementias do.
D. Interferes with navigation of daily life is more characteristic of dementia, especially in later stages. In MCI, the cognitive decline does not typically interfere to the extent that it impedes one's ability to navigate daily life independently.