A nurse is caring for a client who is grieving and has experienced sleep disturbances, weight loss, and often feels angry and irritable. The client also states that they feel depressed. Which of the following assessments is the nurse's priority?
Spiritual practices
'Cultural practices
Ability to function
Social support
The Correct Answer is C
Assessing the client's ability to function is crucial for understanding the impact of grief and depression on their daily life and functioning. Evaluating functional status helps determine the severity of the client's condition and guides interventions to promote recovery and improve quality of life.
A. Spiritual assessment is valuable for understanding the client's beliefs, values, and sources of strength, but it may not directly address the client's current symptoms of grief, depression, and associated sleep disturbances, weight loss, anger, and irritability.
B. While assessing cultural factors is important for providing culturally sensitive care, it may not be the immediate priority compared to addressing the client's symptoms and functional status.
D. Social support plays a significant role in coping with grief and depression. However, while social support is important, the immediate priority may be to address the client's symptoms and functional status.
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Correct Answer is D
Explanation
Identifying the client's primary health issue or reason for seeking care, the nurse can prioritize the assessment and subsequent care interventions accordingly. This approach ensures that urgent or important health issues are addressed promptly, contributing to patient safety and satisfaction.
Correct Answer is A
Explanation
Telephone the interpreter that is designated for the facility to interpret the information is a preferred option as it ensures accuracy and confidentiality in communication.
B. While involving the client's partner may seem convenient, it is not the preferred option for several reasons.
C. While having a colleague who speaks the same language as the client can be helpful, it is not always a reliable option.
D. While electronic translating services can provide a quick solution, they may not always accurately translate medical terminology or convey the nuances of communication.
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