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
An intentional tort is a wrongful act committed by someone who intends to cause harm. In this case, the nurse’s decision to administer medication to the client without a valid medical reason and solely for the purpose of preventing violent behavior due to staffing issues could be considered an intentional tort. The nurse’s actions could be seen as an intentional attempt to harm the client by administering medication without proper justification.
Correct Answer is A
Explanation
Displacement is a defense mechanism in which an individual redirects their negative feelings or impulses from an object or person that is causing discomfort to a substitute object or person that is less threatening. In this scenario, the client is experiencing negative emotions due to losing their job but instead of dealing with the situation directly, they have redirected their anger towards the car windshield by throwing a rock. This behavior is maladaptive because it does not resolve the root cause of the negative emotions and instead causes harm to others.
Sublimation is a defense mechanism in which an individual channels their negative impulses or energy into socially acceptable behaviors or activities. Repression involves pushing unwanted thoughts or memories into the unconscious mind. Denial involves refusing to acknowledge the reality of a situation. None of these defense mechanisms are applicable to the scenario described.
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