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

Develop client teaching using a variety of strategies.

Determine the client's understanding of her living situation.

Discuss the risks of being homeless with the client.

Assist the client to develop goals for obtaining shelter.

Answer and Explanation

The Correct Answer is B

The nurse should first assess the client's understanding of her living situation. Understanding the client's perceptions of her living situation will help the nurse develop an effective plan of care that addresses the client's concerns and priorities. Once the nurse understands the client's perspective, the nurse can help the client develop goals for obtaining shelter, discuss the risks of being homeless, and develop client teaching using a variety of strategies.

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Correct Answer is A

Explanation

Parenting classes are a primary prevention strategy to decrease community violence. These classes provide parents with the necessary knowledge and skills to prevent violence and promote healthy child development. Developing a protocol for managing victims of violence is a secondary prevention strategy because it aims to minimize the harm caused by violence. Arranging for a local clinic to provide methadone treatment and providing sexual assault nurse examiner training for nurses in the local clinic are tertiary prevention strategies because they aim to prevent further harm and improve the quality of life for those who have experienced violence.

A. "Are you having any thoughts about hurting yourself?" B. "Who is available to help you?" C. "Could you describe how you are feeling today?" D. "Is there anything that makes you feel less depressed?"

Correct Answer is A

Explanation

The correct answer is choice A, "Are you having any thoughts about hurting yourself?" This is the most important question to ask because it assesses the client's risk for suicide, which is a potential complication of depression. The nurse should ask this question before exploring other issues related to the client's depression. If the client expresses suicidal thoughts or intent, the nurse should initiate appropriate interventions to ensure the client's safety.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A community health nurse is working with a task force to decrease community violence. Which of the following planned interventions should the nurse identify as a primary prevention strategy?

Correct Answer is A

Explanation

A nurse in a community health clinic is assessing a client who has two preschoolers, was recently divorced, and is seeking help for managing depression. Which of the following questions should the nurse ask first?

Correct Answer is A

Explanation

A nurse is triaging clients who were involved in a commuter train crash. Which of the following clients should the nurse choose for transport to the emergency department first?

When providing teaching to the guardian of a child who has leukemia about methods to prevent complications, which of the following statements by the guardian indicates an understanding of the teaching, as assessed by a home health nurse?

A nurse at a rural clinic is interviewing a family who has different cultural beliefs than the nurse. The family reports seeing a folk healer. Which of the following statements should the nurse make?

A nurse is providing teaching to a client about directives regarding end-of-life care. Which of the following information should the nurse include in the teaching?

An occupational health nurse is completing a walk-through of a factory to identify workers at risk for injury. Which of the following workers should the nurse identify as being at risk?

A nurse in a mobile health clinic is caring for a client who requires a tetanus immunization and is accompanied by his daughter. The client does not speak the same language as the nurse. Which of the following actions should the nurse take?

A mental health nurse is scheduling a home health appointment with a client who has recently lost his partner in a motor-vehicle crash. Which of the following statements by the client indicates the need for immediate nursing intervention?

A first-response team is working at the location of a bombing incident. A nurse triaging a group of clients should give treatment priority to which of the following clients?