While working with a client in crisis, the nurse understands which of the following interventions would be a priority.
Identifying previous experiences and coping methods used.
Calling the client’s support systems for additional support.
Decreasing the client’s anxiety.
Ensuring the client’s safety.
The Correct Answer is D
working with a client in crisis, the nurse’s priority intervention should be to ensure the client’s safety. This involves assessing the client’s risk for harm to themselves or others and taking appropriate measures to prevent harm. Once the client’s safety has been ensured, the nurse can then focus on other interventions such as decreasing the client’s anxiety and identifying previous experiences and coping methods used.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Caffeine is a stimulant that can increase anxiety and nervousness in some people. Making a pot of coffee when feeling anxious could exacerbate the client’s symptoms and make it more difficult for them to manage their stress. The other actions discussed by the clients, such as journaling, praying, and exercising, can be effective stress management techniques that can help to reduce anxiety and promote relaxation.
Correct Answer is C
Explanation
This statement indicates a lack of understanding about the legal basis for involuntary admission and the criteria for discharge. Involuntary admission is authorized when a person is a danger to themselves or others or is gravely disabled, and the decision to discharge must be based on an evaluation by a qualified professional that the person no longer meets those criteria. Therefore, the client cannot simply leave by telling staff they will not harm themselves. The other options are not indicative of a lack of understanding of the client’s rights.
Option A may indicate a concern about privacy, but the confidentiality of mental health information is protected by law, so the client's boss cannot be informed without their consent.
Option B shows an understanding of the reason for the use of restraints.
Option Ddemonstrates awareness of the right to vote, which is not affected by mental health status.
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