A nurse is caring for a client whose partner died 6 months ago. Which of the following findings is the nurse's priority?
The client states that he is unable to eat more than once a day.
The client frequently recalls negative experiences that occurred during his marriage.
The client relates that he is angry that the provider did not save his partner's life.
The client says he feels guilty about not spending more time with his partner.
The Correct Answer is A
The nurse's priority is to address the client's physical needs, such as nutrition and hydration, which are essential for survival and recovery. The client who is unable to eat more than once a day is at risk for malnutrition, dehydration, and electrolyte imbalance, which can lead to serious complications. The other findings indicate emotional distress and grief, which are also important to address, but not as urgent as the client's physical health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The client's statement reflects a loss of interest and pleasure in life, which is a major symptom of clinical depression. The other statements are normal expressions of grief that do not necessarily indicate depression, although they may warrant further assessment and support from the nurse.
Correct Answer is C
Explanation
The client is transferring his anger toward his partner to the nurse, who is a less threatening person.
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