A 23-year-old pregnant patient who is 16 weeks along has a recent upper arm injury and is reluctant to explain what happened. What should you do?

continue your care in a private area, document details about the scene and incident, and reassure her as you provide care.

When someone is hesitant to say how an injury happened, the priority is to provide medical care while respecting the patient’s privacy and safety. Moving care to a private area helps protect confidentiality and can make the patient feel safer, which may make her more willing to share information if and when she chooses. Documenting what you observe and any details she does share preserves a clear medical record for her care and any needed follow-up, while avoiding pressuring her for disclosures she’s not ready to give. Reassuring her supports trust and lowers anxiety, which is important for effective care.

Involving police at the scene isn’t appropriate unless there’s an immediate safety threat or the patient requests police involvement. Forcing disclosure or pressuring her for details can damage trust and may put her at greater risk. Removing her from the environment or transporting without consent isn’t warranted solely based on reluctance to explain; the focus should be on safe, respectful, patient-centered care and documentation.

contact police and remain at the scene until they arrive and escort you to the hospital.

immediately remove the patient from the environment and transport.

ask more detailed questions and press the issue until you have a more detailed understanding of the incident.

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