A nurse is assessing a 30-year-old female client who has recently disclosed a history of sexual violence. Which of the following nursing interventions should be prioritized to support this client’s immediate needs?

Choice A reason: Encouraging detailed discussion of feelings may be harmful initially, as it risks re-traumatization. Sexual violence triggers intense stress responses, increasing amygdala activity and cortisol levels. Scientifically, forcing trauma processing before establishing safety can exacerbate anxiety and PTSD symptoms, delaying recovery by overwhelming the client’s emotional regulation capacity. Choice B reason: Weekly therapy is beneficial for long-term trauma processing but not an immediate priority. Sexual violence survivors need acute stabilization first, addressing safety and coping. Scientifically, therapy requires emotional readiness, as premature exploration may heighten stress responses, increasing risk of PTSD or dissociation without immediate safety measures. Choice C reason: Support groups provide peer connection but aren’t the immediate priority post-disclosure. Survivors need safety and coping strategies first to manage acute anxiety. Scientifically, group settings may overwhelm clients early in recovery, as social exposure can trigger stress responses, delaying stabilization of trauma-related neurobiological changes like hyperarousal. Choice D reason: A safety plan with coping strategies and resources addresses immediate needs post-sexual violence. It reduces anxiety through practical tools like breathing exercises, calming the amygdala and lowering cortisol. Scientifically, ensuring safety mitigates trauma’s neurobiological impact, stabilizing emotional regulation and preventing further harm, making it the most urgent intervention.