A 30-year-old female comes to the emergency department with visible bruises to her face and arms. She tells the nurse "My husband has been hitting me." The most appropriate response by the nurse is which of the following?
a. "Would you like me to contact our domestic violence advocate for you?"
b. "Many of these issues are between you and your husband. Would you like to speak to a social worker?"
c. "Is this the first time this has happened or is this an ongoing issue?"
d. "The doctor will need to check you before we go any further."
A
Suspected child and elder abuse must be reported to the appropriate agency, according to federal and state laws. Spousal abuse may be mandatory to report, depending on the state law. The Joint Commission requires that all cases of possible abuse or neglect be immediately reported in the hospital. If a patient discloses domestic violence, act immediately. Ask the patient whether she would like you to contact the agency's domestic violence advocate (if there is one). If not, provide contact information for community domestic violence programs.
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