A parish nurse is counseling a family following a client's recent diagnosis of heart disease. Which of the following actions should the nurse take first?
Ask family members about the impact of the disease on relationships within the family.
Offer to accompany the client and the client's partner during health care provider visits.
Assist the client and the client's partner with finding an affordable exercise program.
Discuss the benefits of eating a well-balanced diet with the client's family.
The Correct Answer is A
Explanation: The first action the parish nurse should take is to ask family members about the impact of the disease on relationships within the family. A diagnosis of heart disease can affect the client and the client's family emotionally, physically, and financially. By assessing the family's understanding of the disease, the nurse can identify their needs, concerns, and coping strategies. The nurse can also provide emotional support, education, and resources to help the family manage the disease and improve their quality of life. Offering to accompany the client and the client's partner during health care provider visits, assisting the client and the client's partner with finding an affordable exercise program, and discussing the benefits of eating a well-balanced diet with the client's family are appropriate actions that the nurse can take. However, these actions are not the priority until the nurse has assessed the family's understanding and need
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A.While social withdrawal is a concerning sign of grief, it does not necessarily indicate an immediate risk of self-harm. The nurse should continue to monitor and encourage engagement.
B.Anger is a normal stage of grief. Unless the client expresses intent to harm themselves or others, anger alone does not require immediate intervention.
C.This statement may indicate suicidal ideation. When a grieving client expresses that "everything is going to be fine soon," it can be a red flag for suicidal intent, especially if they have recently experienced a significant loss. Some individuals contemplating suicide may appear calm or overly optimistic once they have decided on a plan.
D.Refusal to communicate is concerning but not necessarily an immediate crisis. The nurse should build rapport and offer ongoing support.
Correct Answer is B
Explanation
. Engage the family in informal conversation. The first step in caring for a client with dementia is to establish a relationship of trust and comfort with the client and their family. Engaging the family in informal conversation can help the nurse gain insight into the family's needs and concerns, as well as provide an opportunity to establish rapport. Encouraging the family to join a support group, providing information about respite care, and educating the family regarding the progression of dementia are important steps in caring for a client with dementia, but they should follow the initial step of engaging the family in informal conversation.
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