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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Administering corticosteroids is relevant for clients at risk of preterm labor, not specifically for placenta previa.
Choice B rationale:
Placenta previa can lead to bleeding and potential fetal distress. Continuous monitoring of fetal heart rate (FHR) and uterine contractions is essential to promptly identify any signs of distress.
Choice C rationale:
Terbutaline is a tocolytic medication used to suppress uterine contractions, and it's not relevant for managing uterine atony associated with placenta previa.
Choice D rationale:
Performing a vaginal exam can further increase the risk of bleeding in cases of placenta previa and is generally contraindicated due to the risk of disturbing the placental site.
Correct Answer is D
Explanation
Choice A rationale:
Epinephrine auto-injectors should be stored at room temperature and protected from light. Refrigeration is not recommended.
Choice B rationale:
The solution in an epinephrine auto-injector should be clear. If it appears discolored or contains particles, it may be expired or compromised.
Choice C rationale:
Epinephrine auto-injectors should not be shaken before use, as shaking could cause the solution to foam and result in inaccurate dosing.
Choice D rationale:
Holding the epinephrine auto-injector in place for 10 seconds allows the medication to be fully delivered into the muscle, enhancing its effectiveness.
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