A nurse is caring for a client whose child died from cancer. The client states, "It's hard to go on without him." Which of the following questions should the nurse ask the client first?
"What has helped you through difficult times in the past?"
"Has anyone in your family committed suicide?"
"Are you thinking about ending your life?"
"Is there anyone you would like involved in your care?"
The Correct Answer is C
A. "What has helped you through difficult times in the past?": Important but not the priority in a potential crisis.
B. "Has anyone in your family committed suicide?": Relevant but not the first question.
C. "Are you thinking about ending your life?": Directly assesses the client's safety and risk for suicide.
D. "Is there anyone you would like involved in your care?": Supports coping but is not urgent.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A cool mist tent may be helpful for other respiratory conditions but is not the priority in epiglottitis.
B. Suctioning the oropharynx can cause further airway irritation and increase the risk of airway obstruction.
C. Epiglottitis can rapidly lead to airway obstruction, and intubation may be necessary to secure the airway.
D. Obtaining a throat culture is contraindicated as it may trigger airway closure.
Correct Answer is B
Explanation
A. Low-protein supplements are not recommended; high-protein, high-calorie foods are encouraged to maintain nutrition.
B. Cold foods are often more tolerable for clients experiencing anorexia, as they are less odorous and may help reduce nausea.
C. Serving the largest meal in the evening is inappropriate as appetite typically decreases later in the day; it’s better to serve meals when the client feels most hungry.
D. Drinking large amounts of fluid with meals can lead to early satiety, reducing overall intake.
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