In a mugging and robbery, a client sustained minor abrasions and contusions. Based on the assessment findings, which action would the nurse do first?

In a mugging and robbery, a client sustained minor abrasions and contusions. Based on the assessment findings, which action would the nurse do first?

• A. Validate that anxiety is normal and have a family member stay with the client
• B. Apply antiseptic to minor abrasions
• C. Perform a full trauma assessment of airway and circulation
• D. Document the injuries in the chart

Answer: (A)

The first priority after a violent incident is to address the client’s psychological distress and establish a sense of safety. Validating that anxiety is a normal reaction to trauma and arranging for a family member to stay with the client provides immediate emotional support, which helps reduce fear, improves the client’s sense of security, and facilitates communication about what happened and what care is needed next. When the client feels supported and calmer, they are better able to participate in the ongoing assessment and care, including any physical care for minor abrasions and a subsequent trauma check if needed. While cleaning wounds, performing a comprehensive airway/breathing/circulation assessment, and documenting injuries are important, they follow once the client’s emotional state is stabilized and safety is established.

The first priority after a violent incident is to address the client’s psychological distress and establish a sense of safety. Validating that anxiety is a normal reaction to trauma and arranging for a family member to stay with the client provides immediate emotional support, which helps reduce fear, improves the client’s sense of security, and facilitates communication about what happened and what care is needed next. When the client feels supported and calmer, they are better able to participate in the ongoing assessment and care, including any physical care for minor abrasions and a subsequent trauma check if needed. While cleaning wounds, performing a comprehensive airway/breathing/circulation assessment, and documenting injuries are important, they follow once the client’s emotional state is stabilized and safety is established.