A nurse is assessing a client who recently experienced the loss of their partner. Which of the following questions is the priority for the nurse to ask during this situational crisis?

"Who do you talk to when you need help?"

"Are you having thoughts about harming yourself?"

"What do you usually do to cope with problems in your life?"

"How do you think this event is affecting your life right now?"

Answer and Explanation

The Correct Answer is B

The priority for the nurse is to assess the client's safety and risk of self-harm or suicide, which may increase during a situational crisis. The other questions are also important to explore, but they are not as urgent as assessing for suicidal ideation or intent.

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Correct Answer is B

Explanation

Alcohol withdrawal syndrome is characterized by autonomic hyperactivity, which can manifest as tachycardia, hypertension, hyperthermia, diaphoresis, tremors, seizures, and delirium tremens. The nurse should monitor the client's vital signs, provide supportive care, and administer medications as prescribed to prevent complications and promote recovery.

A. "The client is just like my brother who finally overcame his habit." B. "The client asked me to go on a date with him, but I refused." C. "The client generally shares his feelings during group therapy sessions." D. "The client needs to accept responsibility for his substance use."

Correct Answer is A

Explanation

Countertransference occurs when a staff member projects their own feelings or experiences onto a client. In this case, the staff nurse is comparing the client to their brother, which can interfere with objective and empathetic care.

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A nurse is assessing a client who recently experienced the loss of their partner. Which of the following questions is the priority for the nurse to ask during this situational crisis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. The nurse should monitor the client for which of the following manifestations?

Correct Answer is B

Explanation

A charge nurse is discussing the care of a client who has a substance use disorder with a staff nurse. Which of the following statements by the staff nurse should the charge nurse identify as countertransference?

Correct Answer is A

Explanation

A nurse has placed a client who has become physically aggressive into seclusion. Which of the following actions should the nurse take?

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