Which statement is appropriate when discussing possible abuse with a patient?

When discussing possible abuse with a patient, it is crucial to approach the conversation with sensitivity and care. The selected statement, "How did this neck bruising happen?" is appropriate because it encourages the patient to provide their account of the situation in a non-confrontational manner. This open-ended question allows the patient to share their experience without feeling pressured or judged. It opens the door for a dialogue that can facilitate trust and honesty, which is essential in sensitive discussions about potential abuse.

This approach acknowledges the visible injury while allowing the patient the autonomy to explain in their own words how it occurred. It is vital to use neutral language and avoid leading questions, which could shape the patient's response or make them feel defensive. By asking for an explanation, the clinician can gather pertinent information while also providing a supportive environment for the patient to disclose any necessary details about their experience.