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NCLEX · Crisis and Grief

A nurse is assessing a client who may be a victim of intimate partner violence (IPV). What is the most appropriate way to conduct this assessment?

Correct answer

Interview the client ALONE, in a private and safe setting, using direct but nonjudgmental questions — never assess for abuse in the presence of the suspected abuser

  1. A Ask about abuse in front of the client's partner
  2. B Interview the client ALONE, in a private and safe setting, using direct but nonjudgmental questions — never assess for abuse in the presence of the suspected abuser
  3. C Wait for the client to bring it up themselves
  4. D Only assess if there are visible injuries

Why this is the answer

INTIMATE PARTNER VIOLENCE (IPV) ASSESSMENT: PRIVACY AND SAFETY: Always interview the client ALONE — never assess for abuse with the partner present (the abuser may control the narrative, intimidate, or the client may fear retaliation); ensure a private, safe setting; APPROACH: Direct but nonjudgmental questions ('Do you feel safe at home?' 'Has anyone hurt you or threatened you?'); convey support and belief; assess for safety and immediate danger; NURSING RESPONSIBILITIES: Provide a safe environment; document objectively (specific injuries, client's words in quotes, photos with consent); know mandatory reporting requirements (varies by state — IPV reporting differs from child/elder abuse which are typically mandatory); provide resources (hotlines, shelters, safety planning); RESPECT AUTONOMY: A competent adult may choose not to leave — respect their decisions while ensuring they have resources and a safety plan; do not pressure or judge; SAFETY PLANNING: Help the client develop a plan (important documents, emergency bag, code word, safe place); DANGER: Leaving is the most dangerous time — support without forcing; nursing role: assess privately, support nonjudgmentally, document, provide resources, respect autonomy, ensure safety.
Source: NCLEX-RN Psychosocial — Crisis, IPV Assessment

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