A nurse is speaking with a client who experienced physical assault. Which of the following actions should the nurse take?

Allow the client to control the conversation.

Ask the client a series of questions about who assaulted them.

Insist the client report the incident.

Touch the client for reassurance.

Answer and Explanation

The Correct Answer is A

A. Allowing the client to control the conversation empowers them to share their experience at their own pace and in their own way. This approach fosters trust and facilitates open communication between the nurse and the client.

B. While gathering relevant information about the assault may be necessary for documentation and reporting purposes, it's important to approach the topic with sensitivity and respect for the client's emotional well-being.

C. Pressuring the client to report the incident against their will can further traumatize them and undermine their sense of control. Reporting the assault is a personal decision that should be made by the client based on their individual circumstances and preferences.

D. Touch can be a powerful form of nonverbal communication that conveys empathy, support, and reassurance. However, it's important to obtain the client's consent before initiating any form of physical contact, especially considering the sensitive nature of the situation.

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Correct Answer is C

Explanation

C. This statement suggests that the adolescent client lacks a supportive network or resources to discuss their problems, which can be concerning given their history of depression and suicidal ideation. It indicates a potential lack of social support, which is crucial for individuals struggling with mental health issues.

A. This statement indicates a positive behavior change, as the client has refrained from using drugs for a significant period.

B. Engaging in recreational activities and social interactions, such as participating in a dance program, can be beneficial for mental health and well-being.

D. This statement suggests that the client may be experiencing academic difficulties or stress related to missing classes. While missing classes can be concerning, the client's acknowledgment of the situation and intention to catch up may indicate a proactive approach to addressing academic challenges.

A. "My little sister has a lot of health problems, and my parents are always in the hospital with her. I worry about that a lot." B. "My mother had me when she was in high school C. "My English teacher is amazing. They really listen well." D. "My parents are in the military. We have moved a lot since I was born,

Correct Answer is C

Explanation

C. It indicates a positive childhood experience where the adolescent has a supportive and attentive teacher who listens well. Positive relationships with supportive adults, such as teachers, coaches, or mentors, can serve as protective factors for adolescents with anxiety disorders

A. This statement suggests that the adolescent experiences stress and worry related to their sibling's health problems, which may exacerbate their anxiety rather than serving as a protective factor.

B. This statement provides information about the adolescent's family background but does not necessarily indicate a positive childhood experience or protective factor for anxiety.

D. Frequent moves associated with military life may present challenges rather than protective factors for anxiety, such as disruptions in social relationships and support networks.

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A nurse is speaking with a client who experienced physical assault. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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