A 35-year-old woman is being assessed related to suspected battering. In interviewing this patient, it is important for the nurse to keep in mind that: (Select all that apply.)
a. the nurse's demeanor should be one of concern and caring.
b. professional terminology should be used and taught to the patient.
c. all noted injuries should be thoroughly and explicitly documented.
d. police personnel or other witnesses should be present during the interview.
e. teaching assertiveness and coping skills is a priority to reduce victimization.
f. abuse survivors may conceal their injuries to reduce future assaults.
A, C, F
Developing trust and a therapeutic relationship is a priority in initial contacts with the patient. All injuries and any other potential evidence should be documented in a clear, detailed manner, including the use of drawings, quotes, and photography. Persons who have been abused may conceal the extent of their injuries and minimize the actions of the perpetrator out of fear of future, even worse abuse should they be candid. The nurse should use terminology and language familiar to the patient. The purpose of the interview is to assess and assist the patient, not develop a case for prosecution; the interview should be conducted in private (no nonessential or non–health care personnel should be present). Teaching assertiveness and coping skills will be important interventions after the assessment phase and other higher-priority interventions have been completed.
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