A nurse is caring for a client who is experiencing a crisis. Which of the following actions should the nurse take first?

Refer the client to crisis intervention services.

Determine the client's previous methods of coping with crisis.

Discuss with the client the cause of the crisis.

Assist the client to develop strategies to overcome the crisis.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Referring the client to crisis intervention services might be necessary, but before doing so, the nurse should gather information to understand the client's current situation and coping mechanisms.

Choice B rationale:

Assessing the client's previous coping methods helps the nurse understand the client's strengths and provides insights into potential strategies for managing the crisis effectively.

Choice C rationale:

Discussing the cause of the crisis might be helpful, but it's important to first assess the client's current coping abilities and resources.

Choice D rationale:

Assisting the client in developing strategies to overcome the crisis is important, but it should come after a thorough assessment of the client's current coping mechanisms and situation.

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Correct Answer is A

Explanation

Choice A rationale:

People with dementia may become disoriented and attempt to leave their homes. Disguising exit doors with posters or camouflage can help prevent wandering and promote safety.

Choice B rationale:

Weighing the client once per month is not directly related to dementia care and safety.

Choice C rationale:

Keeping lights on at night can help prevent falls and confusion in people with dementia.

Choice D rationale:

Offering several food choices prior to meal times can be overwhelming for a person with dementia. A simpler approach may be more appropriate.

A. Decreased albumin B. Decreased erythrocyte sedimentation rate C. Increased hematocrit D. Increased protein

Correct Answer is A

Explanation

Choice A rationale:

Inflammatory bowel disease, including Crohn's disease, can lead to decreased albumin levels due to malabsorption and inflammation.

Choice B rationale:

Increased erythrocyte sedimentation rate (ESR) is more likely in inflammatory conditions.

Choice C rationale:

Decreased hematocrit is more common due to potential blood loss.

Choice D rationale:

Decreased protein levels are expected due to inflammation and malabsorption.

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A nurse is caring for a client who is experiencing a crisis. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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