A nurse is caring for a who requires a crisis intervention for acute anxiety. Which of the following actions is the highest priority?

Identify the clients’ coping skills.

Determine the cause of the client's anxiety.

Ensuring that the client feels safe.

Protecting the client from injury

Answer and Explanation

The Correct Answer is D

During a crisis, the client may be at risk of harming themselves or others. The nurse should take steps to ensure the safety of the client and those around them. Once the immediate safety concerns have been addressed, the nurse can then focus on identifying the cause of the client’s anxiety and helping them develop coping skills.

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Correct Answer is ["A","E"]

Explanation

a. “I can see that you feel sad about this situation”.

e. “The loss of your parent should be very painful for you.”

These responses by the nurse show empathy and validate the patient’s feelings. They also encourage the patient to continue expressing their emotions and facilitate communication.

Option b. “Don’t be sad, everyone has to pass for something like this in the life” is not a helpful response

because it minimizes the patient’s feelings and may make them feel like their emotions are not valid.

Option c. “I felt very sad when my mother died, it was horrible!” is not a helpful response because it shifts the focus of the conversation away from the patient and onto the nurse’s personal experience.

Option d. “Let’s talk about something else. this subject is upsetting you, don’t worry about this” is not a helpful response because it dismisses the patient’s emotions and may make them feel like they are not allowed to express their feelings.

A. give the usual geriatric dosage as per guidelines B. give the medication and consult the health care provider: C. consult a drug reference manual before administer the medication D. hold the medication and consult the health care provider.

Correct Answer is D

Explanation

If the nurse has concerns about the prescribed dose of an antianxiety medication being higher than the usual adult dose, they should hold the medication and consult with the health care provider before administering it. This will allow the health care provider to review the prescription and make any necessary adjustments to ensure the safety and well-being of the patient.

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A nurse is caring for a who requires a crisis intervention for acute anxiety. Which of the following actions is the highest priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient cries as the nurse explores the patient's relationship with a deceased parent. The patient says, “I shouldn't be crying like this, it happened a long time ago.” Which responses by the nurse will facilitate communication? Select all that apply. Select one or more:

Correct Answer is ["A","E"]

Explanation

A registered nurse cares for an older adult patient admitted for the treatment of depression. The health care provider prescribes an antianxiety medication today, but the dose is more than the usual adult dose. The nurse should: Select one:

Correct Answer is D

Explanation

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