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?"

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is ["1.5"]

Explanation

The nurse should administer 1.5 tablets of clozapine 200 mg to achieve a daily dose of 300 mg. Calculation: 300 mg ÷ 200 mg per tablet = 1.5 tablets

A. Identifying previous experiences and coping methods used. B. Calling the client’s support systems for additional support. C. Decreasing the client’s anxiety. D. Ensuring the client’s safety.

Correct Answer is D

Explanation

working with a client in crisis, the nurse’s priority intervention should be to ensure the client’s safety. This involves assessing the client’s risk for harm to themselves or others and taking appropriate measures to prevent harm. Once the client’s safety has been ensured, the nurse can then focus on other interventions such as decreasing the client’s anxiety and identifying previous experiences and coping methods used.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["1.5"]

Explanation

While working with a client in crisis, the nurse understands which of the following interventions would be a priority.

Correct Answer is D

Explanation

A nurse is leading a family therapy session for a mother, father, and two adolescent siblings. Which of the following statements should the nurse recognize as an example of manipulating?

What is the name of the defense mechanism when a client channel drives or impulses that are unacceptable into constructive activities?

During the orientation phase of the nurse-client relationship, which of the following will occur?

A nurse is admitting a client to the psychiatrist unit after attacking a neighbor. The nurse should know that the client can be kept in the hospital after the 72 hours hold is over when which of the following conditions is met?

A nurse is preparing to administer lithium syrup 1800 mg PO bd Available is lithium syrup 600 mg/5 mL How many mL would the nurse administer per dose? (Write the number only, do not include the label Record the answer as a whole number Use a leading zero if it applies Do not use a trailing zero)

Which of the following are included in Johada’s indicators of mental health? (Select all that apply.)

The nurse demonstrates active listening by what action?