A nurse is counseling an older adult client whose partner died suddenly the previous month. The client cries periodically and rarely makes eye contact. Which of the following questions is the priority for the nurse to ask?

"What are you looking forward to each day?"

"Can you tell me about your sleep patterns?"

"Have you ever felt like you don't want to live anymore?"

"Are you taking any medications at this time?"

Answer and Explanation

The Correct Answer is C

A) "What are you looking forward to each day?": While asking about daily expectations can provide insight into the client's coping mechanisms and hopefulness, it does not immediately address potential safety concerns. It is a helpful question for assessing the client's adjustment but not the priority if there is a concern about suicidal ideation.

B) "Can you tell me about your sleep patterns?": Sleep patterns are important for understanding overall well-being, especially during grief. However, this question is secondary to addressing the immediate risk of self-harm. Assessing sleep can come after determining if the client is having suicidal thoughts.

C) "Have you ever felt like you don't want to live anymore?": This question is crucial because it directly assesses the client's risk of suicidal ideation or self-harm. Given the client's recent loss and current symptoms, it is important to evaluate if there is a risk to their safety, making this the priority question.

D) "Are you taking any medications at this time?": While it is important to know about the client's medication use, this question does not address the immediate risk of self-harm or assess the psychological impact of the recent loss. Medication information is less urgent compared to evaluating suicidal thoughts.

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Correct Answer is B

Explanation

A) Staying current on scheduled immunizations: While important for overall child health, staying current on immunizations is not a direct risk factor for sudden infant death syndrome (SIDS). Immunizations help prevent infections but do not specifically impact the likelihood of SIDS.

B) Maternal smoking during pregnancy: Maternal smoking during pregnancy is a significant risk factor for SIDS. Tobacco smoke exposure can negatively impact the baby's respiratory system and increase the risk of SIDS, making it crucial to address this risk factor.

C) Newborn who is large for gestational age: Being large for gestational age is not a recognized risk factor for SIDS. Risk factors for SIDS are more associated with environmental and prenatal conditions rather than birth weight alone.

D) Meconium staining of amniotic fluid: Meconium staining indicates potential fetal distress and complications during labor but is not a direct risk factor for SIDS. It is more related to the conditions surrounding birth rather than the risk of SIDS.

A. Hematuria B. Insomnia C. Arthralgia D. Hypoglycemia

Correct Answer is B

Explanation

A) Hematuria:
While hematuria is a concerning symptom, it is not a commonly recognized adverse effect of buspirone. Hematuria might indicate other underlying conditions that need evaluation but is not typically linked to the use of buspirone.

B) Insomnia:
Insomnia is a potential adverse effect of buspirone. It can significantly impact the client’s quality of life and overall well-being. Reporting insomnia to the healthcare provider is important as it may necessitate adjustments in medication or additional interventions to help manage sleep disturbances.

C) Arthralgia:
Arthralgia, or joint pain, is not commonly associated with buspirone use. If the client experiences joint pain, it is more likely to be related to other causes rather than the medication. However, all symptoms should still be discussed with a healthcare provider.

D) Hypoglycemia:
Hypoglycemia is not a known adverse effect of buspirone. This medication does not typically influence blood glucose levels. If the client experiences symptoms of low blood sugar, other factors or conditions should be considered as potential causes.

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A nurse is counseling an older adult client whose partner died suddenly the previous month. The client cries periodically and rarely makes eye contact. Which of the following questions is the priority for the nurse to ask?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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