A nurse is planning to use the nursing process to care for a client who is experiencing grief.
Which of the following actions should the nurse take first?
Establish whether the client's grieving is healthy or complicated.
Develop client-specific goals and outcomes.
Incorporate the treatment into the client's care.
Determine whether coping strategies were successful.
The Correct Answer is A
Choice A rationale:
Establishing whether the client's grieving is healthy or complicated is the first step in the nursing process when caring for a client experiencing grief. This step falls under the assessment phase of the nursing process and is essential for understanding the client's needs and planning appropriate care.
Choice B rationale:
Developing client-specific goals and outcomes comes after the assessment phase in the planning stage of the nursing process. While important, it is not the first action the nurse should take in this situation.
Choice C rationale:
Incorporating the treatment into the client's care occurs during the implementation phase of the nursing process and follows assessment and planning. This is not the first action.
Choice D rationale:
Determining whether coping strategies were successful is part of the evaluation phase of the nursing process, which occurs after the implementation of care. It is not the first step in this situation. Now, let's proceed to the final question.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Alcohol consumption is a modifiable risk factor that can have negative health consequences. However, it is not the primary factor to focus on when discussing ways to improve health. Excessive alcohol consumption can lead to liver disease, addiction, and other health issues, but it's not the most critical modifiable risk factor for many people.
Choice B rationale:
Family history is not a modifiable risk factor. It's essential information for assessing a person's risk for various health conditions, but it cannot be changed or improved upon. Therefore, it's not the primary focus when teaching someone how to improve their health.
Choice D rationale:
A sedentary lifestyle is a modifiable risk factor and is crucial for improving health. Prolonged inactivity can lead to various health problems, such as obesity, cardiovascular disease, and muscle weakness. While it's an important factor, it's not the top priority for improving health in this context.
Choice E rationale:
Weight is a modifiable risk factor, and it is closely related to diet and physical activity. Maintaining a healthy weight is essential for overall health, and it often involves a combination of dietary choices and physical activity. However, focusing on diet itself is more specific and directly actionable when providing health improvement advice. Now, let's move on to the next question.
Correct Answer is B
Explanation
Choice A rationale:
Trust vs. Mistrust is the first stage of Erikson's theory of psychosocial development and typically occurs in infancy. It is characterized by the child's development of trust or mistrust based on the caregiver's reliability and care. This stage is not relevant to an adolescent who is rebelling against caregivers and spending more time with friends.
Choice B rationale:
Identity vs. Role Confusion is the stage of Erikson's theory that corresponds to adolescence. During this stage, adolescents seek to establish a sense of identity and may experiment with different roles and behaviors. They often question who they are and what they want to become. Rebelling against caregivers and seeking independence are common characteristics of this stage.
Choice C rationale:
Integrity vs. Despair is the final stage of Erikson's theory and occurs in late adulthood. It involves reflecting on one's life and coming to terms with the choices made. It is not relevant to the situation of an adolescent client.
Choice D rationale:
Autonomy vs. Shame and Doubt is the stage that typically occurs in early childhood, where children are developing a sense of independence and autonomy. This stage is not relevant to the adolescent client's experience of rebellion and seeking autonomy.
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