A nurse is assisting with the admission assessment for a client who is receiving treatment following a situational crisis. Which of the following actions is the nurse's priority?
Identifying if friends or family are available to help
Identifying the client's coping skills
Determining if the client has thoughts of self-harm
Asking the client to identify the cause of the crisis
The Correct Answer is C
A. Identifying if friends or family are available to help: Important for support but not the immediate priority.
B. Identifying the client's coping skills: Important for long-term care but not the immediate priority.
C. Determining if the client has thoughts of self-harm: Correct. Assessing for self-harm or suicidal ideation is crucial for immediate safety.
D. Asking the client to identify the cause of the crisis: Important for understanding the crisis but not the immediate priority.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "You will have to have supervision when you go out in the community." This option implies a lack of independence and control for the client, which is generally counterproductive in community-based care. The goal is to empower individuals to live as independently as possible.
B. "You will be able to live in your own home while you receive therapy regularly." This option highlights a key advantage of community-based care for individuals with mental illness: the ability to maintain independence and live within the familiar environment of their own home while receiving necessary treatment and support. This approach fosters a sense of normalcy, reduces stigma, and can contribute to improved quality of life.
C. "You will not be allowed out with friends while in the program." This option suggests a restrictive environment, which is not conducive to a healthy and fulfilling life. Social interaction is crucial for mental well-being, and community-based care should promote social connections.
D. "You will have someone in your home at all times to ask questions if you have any concerns." While having support available is important, constant supervision can be overwhelming and intrusive for many clients. The focus should be on empowering individuals to manage their own care and build independence.
Correct Answer is D
Explanation
A. Severe: Severe anxiety includes difficulty focusing and physical symptoms but does not typically involve the ability to communicate effectively.
B. Mild: Mild anxiety may include slight nervousness but not the described behaviors.
C. Panic: Panic anxiety involves a complete inability to communicate and can include a sense of impending doom.
D. Moderate: Moderate anxiety can include increased speech rate and loudness, along with repetitive statements. While the client is exhibiting signs of distress, the symptoms described don't quite reach the intensity typically associated with severe anxiety.
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