A patient tells the nurse, "I don't want to go home. I'm afraid my spouse will hurt me again." What is the nurse's best response?
1. Invite the abuser to the assessment session.
2. Avoid pressuring the patient to leave the abuser.
3. Acknowledge the patient's inability to change the situation.
4. Ensure not to ask direct questions about abuse, as this will intimidate the patient.
Answer: 2
Explanation: The patient is a victim of interpersonal violence (IPV). The nurse should not pressure the patient to leave, as it may be more dangerous for the patient to leave at this time, and the patient may have to wait until an opportunity arises. The patient should not be discouraged from efforts to prevent future violence but should be encouraged to look for opportunities to change the situation by developing a safety plan. Having the abuser present may prevent the patient from talking openly with the nurse. The nurse should ask direct questions as appropriate when engaging in therapeutic communication with the patient.
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