When a client reveals she has been physically abused, what is the most therapeutic nursing intervention?

Expressing concern for the client's safety is vital in therapeutic nursing interventions, especially when a client discloses experiences of physical abuse. This approach validates the client's feelings and acknowledges the seriousness of their situation. By prioritizing the client's safety, the nurse demonstrates empathy and creates a supportive environment where the client may feel more comfortable sharing their experiences.

Additionally, this intervention allows for the establishment of trust, which is crucial in the therapeutic relationship. It also paves the way for further exploration of the client's feelings and circumstances, helping the nurse to assess any immediate dangers and collaborate on a safety plan if necessary. The focus on safety not only affirms the client's experience but also empowers them to take the next steps towards healing and recovery.

The other interventions, while potentially beneficial in different contexts, may not directly address the client's immediate emotional needs or safety concerns. Discussing behavior changes or suggesting family counseling may come later in the therapeutic process but should not take precedence when safety is a concern. Encouraging a leave from the relationship could also be premature or overwhelming for the client without first ensuring they feel secure and supported.