Patient Data The nurse reads the history and physical and enters the room to perform the intimate partner violence screening. Which action(s) can the nurse take to increase the likelihood that the client will disclose abuse if it is happening? Select all that apply.

A. Probe the client if she does not speak up immediately: Pressuring or probing a client can increase fear, shame, or mistrust and may discourage disclosure. Clients need to feel safe and in control of the conversation rather than coerced into sharing sensitive information. B. Convince the client that she is a bad mother if she does not tell: Shaming or blaming the client is counterproductive and can retraumatize or alienate her. Effective screening relies on creating a nonjudgmental, supportive environment to encourage honest disclosure. C. Ask the permission of the husband to perform an exam: Obtaining consent from the spouse is inappropriate and violates the client’s autonomy and privacy. The client’s individual rights and safety are paramount, especially in intimate partner violence situations. D. Use an evidence-based screening tool: Utilizing validated tools, such as the HITS (Hurt, Insult, Threaten, Scream) or Abuse Assessment Screen, standardizes questioning and increases the likelihood of identifying abuse. Structured instruments improve accuracy and reduce bias in sensitive assessments. E. Conduct the interview in private: Privacy is essential to ensure the client feels safe to disclose abuse without fear of retaliation or judgment from the partner or others. Private settings enhance confidentiality and promote open communication. F. Start with less personal questions first to build rapport: Gradually easing into sensitive topics helps establish trust and rapport. Starting with general questions allows the client to become comfortable and more likely to disclose intimate partner violence when asked.