A nurse is completing the intake health assessment at a clinic. Which of the following is the priority action for the nurse to take?

Ensure that the client has filled out a release of information form from their previous primary care provider.

Document allergies in the electronic medical record.

Getting a list of all medications that have been prescribed to the client.

Ask the client what the biggest concern is at this time.

Answer and Explanation

The Correct Answer is D

Identifying the client's primary health issue or reason for seeking care, the nurse can prioritize the assessment and subsequent care interventions accordingly. This approach ensures that urgent or important health issues are addressed promptly, contributing to patient safety and satisfaction.

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Correct Answer is D

Explanation

Given the traumatic nature of sexual assault and the potential for re-traumatization, the assessment of the genitalia and rectum should be conducted last. This allows the nurse to build rapport with the client, establish trust, and address any immediate concerns or needs before proceeding with a potentially distressing examination.

A. Offer sympathetic support. B. Maintain a nonjudgmental attitude. C. Verbalize disapproval of the client's substance abuse. D. Avoid displaying an emotional response.

Correct Answer is B

Explanation

Maintaining a nonjudgmental attitude allows the client to feel comfortable discussing their alcohol use without fear of criticism or condemnation. It also helps foster honest communication and promotes engagement in the treatment process.

A. It's important to balance sympathy with professionalism and maintain appropriate boundaries.

C. Expressing disapproval of the client's substance abuse can be counterproductive and may hinder the therapeutic relationship.

D. While it's important for the nurse to maintain professionalism and emotional boundaries, completely avoiding displaying any emotional response may come across as cold or detached.

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A nurse is completing the intake health assessment at a clinic. Which of the following is the priority action for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is completing an assessment of a client who was sexually assaulted. What assessment should the nurse conduct last?

Correct Answer is D

Explanation

A nurse is interviewing a client during admission to an alcohol treatment center. Which of the following approaches should the nurse take?

Correct Answer is B

Explanation

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A nurse is developing the plan of care for a client who does not speak the same language as the nurse. Which of the following interventions should the nurse include?

A nurse in the emergency department is caring for a client who was sexually assaulted. Which of the following resources will provide the most effective support immediately following the incident?

During an assessment, the nurse determines that a client sees more than one primary care provider and has obtained prescriptions from each provider. Which method would be most appropriate to determine a client's current medication regimen?