RN Nursing · Violence, Abuse, and Neglect · Practice question
A nurse manager is preparing a program about intimate partner violence for staff at a prenatal clinic. Which of the following information should the nurse manager include?
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Use the term 'victim' when referring to a client who has experienced abuse.
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Cultural norms might prevent a client from reporting abuse.
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Intimate partner violence decreases in most cultures during pregnancy.
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The abusive partner often has a mental health disorder.
Answer & explanation
Correct: Cultural norms might prevent a client from reporting abuse.
Intimate partner violence (IPV) is a significant concern in prenatal settings, and nurse managers should equip staff with accurate, culturally sensitive knowledge. Cultural norms, beliefs, shame, fear of stigma, distrust of authorities, and economic dependency can all prevent clients from disclosing abuse. This makes routine, non-judgmental screening and a safe environment essential. Including this information helps staff understand why clients may not report abuse and emphasizes the importance of universal screening rather than waiting for disclosure. Using the term 'victim' when referring to a client who has experienced abuse is discouraged in current trauma-informed care practice; terms like 'survivor' are preferred as they are empowering and less stigmatizing. Intimate partner violence does not decrease during pregnancy; in fact, research consistently shows that IPV often begins or escalates during pregnancy, making the prenatal period a high-risk time. The statement that the abusive partner often has a mental health disorder is inaccurate and potentially harmful because it attributes violence to mental illness, which is not supported by evidence; IPV is primarily about power and control, and most people with mental health disorders are not violent. Therefore, the accurate and appropriate statement for the program is that cultural norms may prevent a client from reporting abuse.
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