A teenage patient tells the nurse that she is being abused by her boyfriend but she doesn't want her parents to know because they won't let her see him any longer. What is the best response by the nurse?

Question

A) "It's my responsibility to tell your parents if you are in danger."
B) "I understand your fear, but I am obligated to be sure your parents know you are in danger. Would you like for us to talk to them together?"
C) "I won't tell them this time, but I must inform you that legally I must inform your parents if abuse is occurring. Next time it happens I will have to tell them."
D) "You need to tell them because the abuse isn't going to get any better. It will only escalate no matter what your boyfriend says."

Answer 1

Ans: B
The most empathetic and informative response is recognizing the teen's fear. This response also establishes trust by letting the patient know what the nurse's responsibility is while also offering support by talking to the parents with the teen. Responding that the nurse won't inform the parents this time is incorrect because the nurse is legally bound to notify the parents if the child is in danger, as in the case of abuse.