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    Ati LPN Mental Health Proctored Exam Final

    A nurse is discussing safety planning with a client who has experienced domestic violence. Which intervention should be prioritized during the safety planning process?

    Explanation & Rationale

    A. Building the client’s self-esteem is an important long-term therapeutic goal. However, safety planning focuses first on immediate protection from harm. Emotional rebuilding can occur over time, but ensuring physical safety takes priority. B. Helping the client create a personal escape strategy if violence escalates is the priority intervention. A safety plan should include identifying safe exits, having a packed bag ready, establishing a code word with trusted individuals, securing important documents, and knowing emergency contact numbers. Immediate safety and preparation for potential escalation are the most critical components of care. C. Encouraging the client to confront the abuser may increase the risk of further violence. Confrontation can escalate abusive behavior and place the client in greater danger. This is not a safe or appropriate recommendation. D. Advising the client to use calming techniques to diffuse the abuser’s anger inappropriately places responsibility on the victim for managing the abuser’s behavior. Abuse is the responsibility of the perpetrator, and safety planning should focus on protecting the client, not modifying the abuser’s reactions.

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