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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is ["A","B","C","F","H"]
Explanation
a. Substance abuse disorder
b. Schizophrenia
c. Age greater than 55 years old
f. Male gender
h. Previous suicide attempt.
Option a. Substance abuse disorder can increase the risk of suicide because it can exacerbate underlying mental health conditions and impair judgment.
Option b. Schizophrenia is a mental health condition that can increase the risk of suicide due to symptoms such as delusions and hallucinations.
Option c. Age greater than 55 years old is a risk factor for suicide because older adults may experience social isolation, chronic health conditions, and loss of independence.
Option f. Male gender is a risk factor for suicide because men are more likely to die by suicide than women. Option h. Previous suicide attempt is a strong predictor of future suicide attempts and completed suicides. Option d. Female gender is not a known risk factor for suicide.
Option e. Being currently married is not a known risk factor for suicide. Option g. Having a bachelor’s degree is not a known risk factor for suicide.
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