A nurse caring for a client is preparing to access the client’s implanted medication port (Medi port). The client states, “Every time I have to have my port accessed, I get extremely anxious, and I have heart palpitations.” Which response by the nurse would be most appropriate for the assessment stage of crisis intervention?
“Let's talk to the doctor about getting something ordered before the procedure."
“That must be overwhelming considering how often we access the port."
"Do you think you will be able to control your anxiety in the future?'
“What have you done in the past to relieve or reduce your anxiety during the procedure?"
The Correct Answer is D
This response by the nurse would be most appropriate for the assessment stage of crisis intervention because it focuses on understanding the client’s past experiences and coping mechanisms. By asking the client about what has worked for them in the past, the nurse can help the client identify and use effective strategies to manage their anxiety during the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Involuntary mental health admission may be necessary when a person is unable to care for themselves or poses a danger to themselves or others due to a mental illness. In this case, if the client is unable to provide for their own basic needs, such as food, shelter, and clothing, due to a mental illness, they may qualify for involuntary admission for treatment.
Correct Answer is A
Explanation
Transference is a phenomenon in which a person unconsciously redirects feelings and emotions from one person to another. In this case, the client is redirecting feelings and emotions associated with his stern aunt onto his assigned nurse. This can affect the nurse-client relationship and should be addressed in therapy.
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