A nurse is preparing for an interprofessional team meeting regarding a newly admitted client who has major depressive disorder. Which of the following findings obtained during the initial assessment is the priority to report to other disciplines?
Significant weight loss.
Psychomotor retardation.
Markedly neglected hygiene.
Poor problem-soling skills.
The Correct Answer is B
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Check the client's condition after the procedure. - This task should not be delegated to assistive personnel (AP) as it requires assessment skills that are within the nurse's scope of practice.
B. Assist the client to ambulate for the first time following the procedure. - This is a task that can be delegated to AP. Ambulation assistance is within the AP's scope of practice, provided the nurse has assessed the client's stability beforehand.
C. Witness the client's signature on the consent for the procedure. - This task must be performed by a nurse or another licensed healthcare provider, as it involves ensuring that the client has given informed consent.
D. Give the client atropine 30 min before the procedure. - Administering medication is within the nurse's scope of practice and should not be delegated to AP.
Correct Answer is D
Explanation
A. Manage conflict within the group.Conflict management is an important skill for a group facilitator, but it is generally more applicable during the working phase of the group when members begin to express differing opinions and emotions.
B. Encourage the use of problem-solving skills.While encouraging problem-solving is beneficial for group members, this intervention is more appropriate for later phases of the group process, once rapport is established and members are actively discussing their issues.
C. Maintain the group's focus on identified issues.Keeping the group focused on specific issues is important for effective group work. However, in the orientation phase, the primary goal is to introduce the group, establish guidelines, and build relationships.
D. Establish a rapport with group members.In the orientation phase of a support group, the nurse's primary objective is to establish trust and build rapport. Creating a supportive and welcoming environment is essential for adolescents, as it sets the stage for open communication.
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