The nurse is caring for a client in the emergency department (ED) after an assault by the spouse. The client has a history of similar emergency visits. Which action best assists the client?

Choice A reason: Guidance to identify triggering behaviors may imply victim responsibility and is inappropriate in cases of intimate partner violence. Abuse is not caused by the victim’s actions, and this approach may increase guilt or discourage disclosure. Choice B reason: Completing a PHQ-9 screens for depression but does not address the immediate safety needs of a client experiencing ongoing domestic violence. Safety planning takes priority over mental health screening in acute situations. Choice C reason: Couple’s counseling is contraindicated in situations involving intimate partner violence because it may place the victim at increased risk of retaliation or further harm. Safety must be established before considering any joint interventions. Choice D reason: Developing a plan for initiating a rapid exit directly supports client safety by preparing the client to leave a dangerous situation quickly if violence escalates. Safety planning is a core nursing intervention in cases of repeated domestic assault and empowers the client while prioritizing immediate protection.