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 D

Explanation

In this scenario, the client has expressed a serious threat to harm someone, which triggers a healthcare provider's duty to warn law. The nurse appropriately informed the healthcare provider, who then informed their boss, to protect the potential victim from harm. This action is not a violation of privacy or confidentiality, as it is necessary for the safety and wellbeing of others.

Therefore, no disciplinary action is required for the nurse or the healthcare provider, as they acted in accordance with their professional and legal obligations to protect the safety of others.

A. Gent clams that she was forced to participate in sexual intercourse by a friend B. Client States “my date raped me tonight." C. Client has been sexually assaulted last night at 10 pm D. Client reported that she had sexual relations against her Will and she feels very bad

Correct Answer is B

Explanation

This statement clearly and accurately conveys the client's complaint of being raped by her date.

Option a uses colloquial language and may not accurately convey the severity and trauma of the situation.

Option c uses vague language that does not clearly state the nature of the incident.

Option d uses subjective language that may not be helpful for accurately documenting the client's complaint.

It's important for healthcare providers to use appropriate language when documenting sensitive situations like sexual assault to ensure clear communication among the healthcare team and accurate documentation for legal and forensic purposes.

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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 client tells the nurse that he wants to kill his boss, the registered nurse tells healthcare provider. The healthcare provider tells his boss. What disciplinary action is needed? Select one:

Correct Answer is D

Explanation

A young female client is admitted to the emergency room because she was raped that evening by her date. How should the registered nurse record the client's chief complaint in the medical record?

Correct Answer is B

Explanation

A psychiatric registered nurse best implements the ethical principle of autonomy when he or she: Select one:

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