A street nurse works full-time in a downtown urban setting. Her position encompasses developing supportive relationships and identifying social, mental and physical health needs with clients and linking clients with community resources. A client living on the street requests socks and money from the nurse. As the client is changing her socks, the nurse observes an open wound on the heel of her right foot.  The nurse recognizes signs of substance use and the client reports recently being sexually assaulted by her boyfriend. The nurse establishes a connection with the client and collaboratively discusses a plan of care that results in the client consenting to accept care and go to the emergency department/urgent care/walk in clinic with the nurse.