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.
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Related Questions
Correct Answer is D
Explanation
A. Advance directives do not address inheritance or distribution of possessions; those are covered by a will.
B. Advance directives designate a health care proxy or outline specific wishes, not the provider, to make decisions on behalf of the client.
C. Witness requirements for signing a living will vary by state, but typically, a neutral party (not a partner or family member) serves as a witness.
D. A living will is a type of advance directive that outlines the client’s preferences for medical care in the event they become unable to communicate their decisions.
Correct Answer is B
Explanation
A. An incident report is appropriate but should not be placed in the client’s medical record.
B. The nurse should first compare the current infusion with the prescription in the client's medication record to ensure the client is receiving the correct medication and dosage.
C. The nurse should verify the prescription before contacting the charge nurse.
D. Submitting a written warning is not the nurse's responsibility and is not appropriate in this situation.
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