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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Tell me about the concerns that you have regarding your relationship." This open-ended question encourages the client to share their concerns and is appropriate.
B. "I think you should try to see your wife's point of view as well as your own." This statement provides advice and can appear to be taking sides, which requires intervention.
C. "We should invite your partner to be a part of our discussion." Including the partner in the discussion can be beneficial for family therapy and is appropriate.
D. "Relationship difficulties are stressful and require effort to resolve." This statement validates the client's experience and is appropriate.
Correct Answer is C
Explanation
A. Public safety: While public safety is important, the primary aim of hospitals established by Dorothea Dix was not specifically for this purpose.
B. Confinement: Confinement was a method used in earlier institutions but does not reflect the progressive goals of Dorothea Dix’s efforts, which focused on more humane care.
C. Therapeutic milieu: Dorothea Dix advocated for creating a therapeutic environment and improving mental health care, which aligns with the concept of a therapeutic milieu.
D. Asylum: While Dix’s efforts did contribute to the establishment of asylums, her main goal was to improve care and treatment for the mentally ill rather than simply creating asylums.
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