A nurse is caring for a client who is homeless.
Which of the following actions should the nurse take first?
Determine the client's understanding of her living situation.
Assist the client to develop goals for obtaining shelter.
Discuss the risks of being homeless with the client.
Develop client teaching using a variety of strategies.
The Correct Answer is A
The first step a nurse should take when caring for a client who is homeless is to assess their understanding of their living situation. This will help the nurse to understand the client’s perspective and needs, and to tailor their care accordingly.
Choice B, assisting the client to develop goals for obtaining shelter, is important but should come after the initial assessment.
Choice C, discussing the risks of being homeless with the client, is also important but should come after the initial assessment.
Choice D, developing client teaching using a variety of strategies, is also important but should come after the initial assessment and after determining the client’s needs and goals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
It is important for the nurse to understand how the adolescent’s health has affected the family dynamics and roles in order to provide appropriate support and care.
Choice B is not the answer because focusing the discussion on the adolescent’s future career plans may not be relevant or appropriate at this time.
Choice C is not the answer because it is important to include the adolescent in the conversation and not avoid discussing their health.
Choice D is not the answer because it is not appropriate for the nurse to ask another family from the same faith congregation to attend the meeting without first discussing it with the adolescent and their family.
Correct Answer is C
Explanation
The nurse should expect the client to exhibit euphoria after injecting heroin 1 hr ago. Euphoria is a common effect of heroin use and is characterized by intense feelings of happiness and well-being.
Choice A is not the best answer because tachypnea, or rapid breathing, is not a common effect of heroin use.
Choice B is not the best answer because heroin use typically causes pupils to constrict, not dilate.
Choice D is not the best answer because nystagmus, or involuntary eye movement, is not a common effect of heroin use.
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