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    Ati rn mental health proctored exam 2023

    A nurse in an emergency department is creating a plan of care for a client who reports experiencing intimate partner violence. Which of the following interventions should the nurse include as the priority?

    Explanation & Rationale

    Choice A reason: Referring the client to a support group is an important intervention for long-term recovery and emotional support. Support groups provide validation, coping strategies, and community resources. However, this is not the immediate priority in the emergency department setting, where safety and mandatory reporting requirements must come first. Choice B reason: Teaching stress-reduction techniques can help the client manage anxiety and emotional distress associated with intimate partner violence. While beneficial, this intervention is not urgent in the acute care setting. Stress management is a secondary measure that should be addressed after immediate safety and legal obligations are met. Choice C reason: Following the facility’s protocol for reporting the abuse is the priority intervention. Intimate partner violence is a serious safety issue, and healthcare providers are mandated reporters in many jurisdictions. Reporting ensures that the client’s situation is documented, appropriate authorities are notified, and immediate protective measures can be initiated. This step addresses the client’s safety and legal rights, making it the most urgent action. Choice D reason: Placing the client in a private area to ensure safety is appropriate and supports the client’s immediate physical and emotional security. However, while important, it is not the priority compared to mandatory reporting. Safety measures should accompany reporting but do not replace the legal and ethical responsibility to follow protocol.

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