For each nursing response to a client who discloses intimate partner violence, identify whether it is supportive now or needs correction.
Matrix
Choose your responses, then check the answer.
Explanation
The nurse should provide first-line survivor-centered support: listen without judgment, ask about needs, validate the disclosure, assess immediate danger, enhance safety, and connect the client with chosen resources. Screening and discussion should occur privately without the partner as interpreter. The nurse explains confidentiality and any reporting limits before sensitive questioning, documents objective findings and the client's words according to policy, and uses safe contact methods selected by the client. The nurse should not force separation, confront the partner, promise absolute secrecy, or leave messages that could increase danger.
Correct Answer Supportive care preserves privacy, validates the client, assesses danger, strengthens safety, documents objectively, and respects informed choices.
Why It Fits Coercive control and physical injury create safety and psychosocial needs, while the partner's presence can inhibit disclosure or increase risk.
Clinical Picture Mandatory reporting requirements vary, so the nurse follows current law and policy while clearly explaining confidentiality limits.
Memory Link Listen, inquire, validate, enhance safety, and support - do not pressure.
NCLEX Rule Use a private, trauma-informed, survivor-centered response and collaborate on safety and resources without taking control from the client.
Why the Alternatives Fail Partner interpretation, confrontation, forced leaving, or unsafe voicemail contact can silence the client or escalate harm.
2WHO Clinical Handbook for Women Subjected to Intimate Partner Violence
3ACOG Intimate Partner Violence Guidance
4NCSBN 2026 NCLEX-RN Test Plan
Outpatient clinicDuring a private visit, an adult quietly states that a partner controls money and transportation and caused the bruising on the client's arm. The partner is waiting outside and repeatedly sends text messages. The client is alert, has decision-making capacity, and does not request police contact.
Intimate partner violence — Physical, sexual, psychological, or coercive harm by a current or former intimate partner.
Coercive control — A pattern of domination using isolation, threats, surveillance, financial control, or restrictions on daily life.
Safety planning — Collaborative preparation for reducing danger and accessing help in ways chosen by the survivor.