A client tells a nurse, "I know all about this already.
I read about it on the Internet" and then begins to summarize what he has learned.
Because some of this information seems incorrect, what Questions would be effective for the nurse to ask?

Choice A rationale

While improving self-esteem can benefit the client, it does not address the immediate danger posed by an abusive relationship. Self-esteem-focused interventions are long-term and secondary to ensuring the client’s physical safety and security in abusive situations.

Choice B rationale

Teaching the client to avoid conflict places the burden of change on the victim, which is inappropriate in cases of domestic abuse. It does not reduce the risk of harm or address the perpetrator’s behavior, nor does it prioritize the client’s safety.

Choice C rationale

Couples counseling is contraindicated in cases of domestic violence as it can increase the risk of harm to the victim. Addressing abuse requires individual interventions and prioritizing the safety of the victim rather than joint sessions that might escalate tension or conflict.

Choice D rationale

Developing a safety plan is the first priority when dealing with cases of domestic violence. This plan includes identifying safe spaces, emergency contacts, and strategies to leave the abusive environment if necessary. It addresses the immediate risk and ensures the client’s physical safety.

Choice A rationale

Newly found lice indicate poor hygiene but are not specific to neglect; lice spread easily in crowded settings, even among children with attentive caregivers. Hygiene and environmental factors need assessment.

Choice B rationale

Bruises in various stages of healing suggest physical abuse rather than neglect. Bruises indicate potential harm inflicted intentionally, requiring thorough investigation of injury causes and patterns over time.

Choice C rationale

Lack of weight gain and wearing dirty clothes indicates neglect. Poor nutrition and hygiene are clear signs caregivers may fail to meet basic needs essential for a child's health and development.

Choice D rationale

Failure to attend conferences or return calls shows lack of engagement but does not confirm neglect. Communication barriers like language or financial difficulties may be reasons unrelated to neglect.