A nurse wants to begin screening all women encountered during clinic visits for intimate partner violence (IPV) but is uncomfortable and worried about making the women uncomfortable, too. The nurse manager should teach this nurse to say,
a. "All women should be able to tell someone if they are in an abusive relationship."
b. "I ask all my female patients if they are getting hurt or are afraid of their partners."
c. "I need to ask you some questions about domestic abuse if that is OK with you."
d. "This clinic has a policy of assessing women for being in abusive relationships."
B
The statement "I ask all my female patients if they are getting hurt or are afraid of their partners" is the best option because it shows empathy and interest and does not make it seem that this particular woman has some sign that has caused the nurse to ask about IPV. This open and nonjudgmental statement can lead to disclosure by the woman.
The statement "All women should be able to tell someone if they are in an abusive relationship" can put a lot of pressure on the woman to fit in with "all women." Plus, it does not show any empathy or interest on the part of the nurse. Also, the word "abusive" may sound judgmental, and the woman may not identify her relationship with that term.
The statement "I need to ask you some questions about domestic abuse if that is OK with you" sounds as though it is a task the nurse must accomplish and gives the woman the opportunity to decline assessment. Also, the phrase "domestic abuse" is not accurate and may be misconstrued as only meaning violence that happens inside the home or by a person living in the home with the woman. IPV can occur anywhere.
The statement "This clinic has a policy of assessing women for being in abusive relationships" does not show any interest or empathy by the nurse. The word "abusive" may sound judgmental, and the woman may not identify her relationship with that term.
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