A nurse is caring for a 35-year-old female client who discloses that she has been experiencing intimate partner violence for the past two years. Which of the following actions should the nurse prioritize when providing care for this client? (Select all that apply)

Choice A reason: A safety plan ensures protection from ongoing intimate partner violence, addressing immediate risks. Scientifically, it reduces cortisol-driven stress responses by providing escape strategies, stabilizing emotional regulation. This mitigates trauma’s neurobiological impact, like amygdala hyperactivity, fostering safety and supporting psychological recovery from abuse-related disorders. Choice B reason: Assessing and documenting injuries confirms abuse and guides care. Physical trauma elevates stress hormones, impacting mental health. Scientifically, thorough evaluation identifies injury severity, supporting legal and medical interventions. This addresses trauma’s physiological and psychological effects, ensuring comprehensive care for abuse survivors. Choice C reason: Providing resources like shelters and support groups ensures safety and emotional support. Scientifically, access to safe environments lowers cortisol and stabilizes amygdala-driven fear responses. This empowers clients, reducing trauma’s psychological impact and fostering resilience, critical for recovery from intimate partner violence’s long-term effects. Choice D reason: Keeping a journal may document abuse but isn’t a priority, as it doesn’t ensure immediate safety. Scientifically, focusing on documentation without safety measures risks ongoing trauma, as unaddressed abuse elevates cortisol and amygdala activity, delaying psychological stabilization and recovery from violence-related stress disorders.