A nurse is working with a woman who is experiencing intimate partner violence (IPV). The woman states, "At least my children aren't getting hurt." The best response by the nurse is,
a. "Children who witness violence have many indirect injuries."
b. "It's just a matter of time before one of them really does get hurt."
c. "Many children get hurt when they try to intervene in the situation."
d. "Yes, you are right. You are lucky they haven't been hurt."
A
Children who witness IPV have indirect injuries such as poor health, behavior problems, school problems, and social problems.
IPV is associated with increased numbers of child abuse, but predicting that one of the patient's children will get hurt is extremely insensitive and not helpful.
Some children do get hurt intervening in a situation of IPV, but this statement is inaccurate, because it implies large numbers of them are injured.
Agreeing with the patient that she is "lucky" does nothing to help. The nurse needs to educate the patient on the harmful effects of IPV on her children.
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