Intimate partner violence (IPV) is a recognized public health problem with direct physical and longer-term psychological health effects. Because of these recognized health impacts, women who have experienced IPV are likely to use health care services. Research suggests that women want to and will disclose that they have experienced IPV to health care providers. Given this, the ability to identify and respond appropriately to women’s disclosures and then support and connect them with needed community services becomes a key responsibility for health care providers. However, much research reports that few health care providers routinely screen their patients for IPV or provide appropriate follow up and referral. Through in-depth interviews with six public health nurses (PHNs) practicing in rural and remote communities, this study documents how these nurses identify female clients who have experienced IPV, how they intervene in these situations, and the challenges of responding in isolated rural practice contexts. The findings demonstrate that although these PHNS did not have an articulated mandate to screen and intervene in situation where IPV is occurring, they are engaged in this work. Recommendations for training and improved practices are included.