A nurse in a community health clinic is assessing a client who has two preschoolers, was recently divorced, and is seeking help for managing depression. Which of the following questions should the nurse ask first?
"Are you having any thoughts about hurting yourself?"
"Who is available to help you?"
"Could you describe how you are feeling today?"
"Is there anything that makes you feel less depressed?"
The Correct Answer is A
The correct answer is choice A, "Are you having any thoughts about hurting yourself?" This is the most important question to ask because it assesses the client's risk for suicide, which is a potential complication of depression. The nurse should ask this question before exploring other issues related to the client's depression. If the client expresses suicidal thoughts or intent, the nurse should initiate appropriate interventions to ensure the client's safety.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The host in the epidemiological triangle is the organism that harbors the disease. In the case of a mumps outbreak among school-age children, the host is the children themselves. The virus (choice C) is the agent that causes the disease, and the vaccine (choice D) is a means of preventing the disease. The school (choice A) is not the host, but it may be the environment where the disease is spreading.
Correct Answer is B
Explanation
The hepatitis A virus is primarily transmitted through the fecal-oral route, either through close contact with an infected person or through the consumption of contaminated food or water. The virus can survive on surfaces for several hours and can be transmitted through inadequate hand hygiene practices. Therefore, good hygiene practices, such as washing hands thoroughly with soap and water after using the toilet, changing diapers, or handling food, are essential in preventing the transmission of the hepatitis A virus. The virus does not spread through skin contact, the genitourinary tract, or blood.
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