In managing domestic violence, which of the following is an appropriate component of care?

• A. Educate patient that they can get help and provide hotline resources
• B. Counsel that the patient should stay in the relationship
• C. Do not discuss safety planning
• D. Screen only if the patient asks

Answer: (D)

Providing education about available help and giving hotline resources is a key part of managing domestic violence. This approach meets patients where they are, offers concrete steps to seek safety, and supports autonomy by presenting options without pressuring the patient to stay in an unsafe situation. Linking to hotlines, shelters, legal advocacy, and community services helps reduce isolation and connects the patient with immediate and long-term support.

Choosing to advise the patient to stay in the relationship is not supportive or protective, as it can perpetuate harm. Avoiding safety planning leaves the patient unprepared for potential danger, which is a crucial gap in care. Relying on screening only if the patient asks misses many victims who may not disclose abuse due to fear or stigma; proactive, nonjudgmental screening and offering resources are important components of care.