A nurse is implementing crisis interventions for a client following an incidence of intimate partner abuse. Which of the following is the priority action for the nurse to take?
Help the client to identify effective past coping skills.
Initiate precautions to safeguard the client from physical harm.
Assist the client to identify available support systems.
Encourage the client to express feelings about the incident.
The Correct Answer is B
A. Help the client to identify effective past coping skills – While important, this is not the priority in a crisis situation.
B. Initiate precautions to safeguard the client from physical harm – Ensuring immediate safety is the top priority for a client in crisis. If the client is at risk of further harm, protective measures must be implemented.
C. Assist the client to identify available support systems – This is an important step but comes after ensuring safety.
D. Encourage the client to express feelings about the incident – Emotional support is important, but physical safety takes precedence in crisis situations.
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Related Questions
Correct Answer is A
Explanation
A. Herpes zoster – This vaccine is recommended for adults 50 years and older to prevent shingles, a painful rash caused by reactivation of the varicella-zoster virus. Older adults are at increased risk for complications from shingles, making this an essential immunization for this age group.
B. Diphtheria, tetanus, and acellular pertussis (DTaP) – This vaccine is primarily for children younger than 7 years old. Instead, older adults should receive the Tdap or Td vaccine as a booster every 10 years.
C. Human papillomavirus (HPV) – The HPV vaccine is recommended primarily for adolescents and young adults up to 26 years old to prevent cervical and other cancers. It is not typically given to older adults.
D. Rotavirus – The rotavirus vaccine is given to infants, as this virus causes severe diarrhea in young children. It is not needed in older adults.
Correct Answer is A
Explanation
A. "I'll place him in the back seat facing the back seat." – This is the correct answer. Infants should always ride in a rear-facing car seat in the back seat until at least 2 years of age.
B. "I'll place him in the front seat facing the front of the car." – The front seat is not safe for infants due to airbag deployment risks.
C. "I’ll place him in the back seat facing the back of the front seat." – This wording is unclear, but the safest position is directly facing the back of the car.
D. "I’ll place him in the front seat facing the back of the car.” – Infants should not be placed in the front seat, even if rear-facing.
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