hard · NCLEX-RN psychosocial
The nurse is planning immediate interventions for the client. Which actions should be included in the plan of care? Select all that apply. Apply the response specifically to this case: survivor of intimate-partner violence with possible nonfatal strangulation, reproductive coercion, and escalating threats, requiring private screening, danger assessment, documentation, and survivor-led safety planning.
- Conduct a formal Danger Assessment to quantify the risk of lethality.
- Document and photograph the neck bruising and subconjunctival petechiae with written consent.
- Confront the partner in the waiting lobby regarding the client's allegations of abuse.
- Offer immediate referral and coordinate safe transport to a confidential women's shelter.
- Notify law enforcement immediately against the competent client's explicit refusal.
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