A nurse is caring for a client who has a dissociative disorder. Which of the following actions should the nurse take first?
Administer a benzodiazepine to the client.
Establish rapport with the client.
Teach the client grounding techniques.
Educate the client about their disorder.
The Correct Answer is B
A. Administer a benzodiazepine to the client: While benzodiazepines may be useful for managing anxiety, the first step in caring for a client with a dissociative disorder is to build a trusting relationship. Medications should not be prioritized over establishing rapport.
B. Establish rapport with the client: Building rapport is crucial in creating a safe environment for the client. It allows the nurse to gain the client’s trust, facilitating effective communication and treatment. A strong therapeutic alliance is essential for the client's willingness to engage in further interventions.
C. Teach the client grounding techniques: While grounding techniques can be beneficial for clients experiencing dissociation, they are most effective when the client feels safe and supported. Establishing rapport first will help the client be more receptive to learning and practicing these techniques.
D. Educate the client about their disorder: Education is important, but it should come after establishing a trusting relationship. The client may not be open to education about their disorder until they feel comfortable with the nurse and the therapeutic process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. To treat pain and ease anxiety: The client has a history of chronic back pain due to a gymnastics injury and a previous diagnosis of anxiety. It is common for individuals with chronic pain conditions to be prescribed opioids for pain relief. Additionally, those experiencing anxiety may misuse opioids to self-medicate and achieve temporary relief from their symptoms, leading to the development of an opioid use disorder.
B. To promote sleep and rest: While some individuals may use opioids in an attempt to promote sleep, this option does not directly address the client's specific history of chronic pain and anxiety. It is less likely to be a primary reason for starting opioid use compared to treating pain and anxiety.
C. Because they witnessed their parents using drugs or alcohol to cope: Although witnessing parental substance use can influence a person's behavior, there is no indication in the provided information that the client has this background. Therefore, this is not a clear underlying reason for the client's opioid use.
D. To treat hallucinations and perform better at work: There is no mention of the client experiencing hallucinations, and the context suggests that the client is struggling academically rather than seeking to perform better at work. This option does not align with the client's situation or history.
Correct Answer is B
Explanation
A. Triage team: A triage team assesses and prioritizes patients based on the severity of their conditions, particularly in emergency settings. This focus on immediate assessment is not relevant to comprehensive care for clients with substance use disorders.
B. Interdisciplinary team: An interdisciplinary team consists of professionals from various disciplines who work collaboratively to provide comprehensive care. This accurately describes the collaboration among providers, nurses, social workers, and counselors to address the needs of a client with a substance use disorder.
C. Collaborative team: While a collaborative team implies teamwork, it does not specifically highlight the diverse specialized roles involved in providing care. This term lacks the specificity of "interdisciplinary team."
D. Tactical team: A tactical team is associated with strategic planning or operations in contexts such as law enforcement or military. This term is not relevant to the provision of healthcare for substance use disorders.
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