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 A
Explanation
Disassociation is a defense mechanism that involves mentally separating oneself from a stressful or traumatic situation in order to maintain a sense of calm and focus. In this scenario, the nurse is able to block out the sirens and alarms, which may be causing stress and anxiety, and maintain a calm and focused demeanor while speaking with the client's family. This is an adaptive use of disassociation because it allows the nurse to provide effective care and support to the family despite the chaotic environment.
Denial is a defense mechanism that involves denying or minimizing the existence of a stressful or traumatic situation. Rationalization involves justifying or excusing one's behavior or actions. Altruism involves selflessly helping others as a way of dealing with one's own problems. In this scenario, none of these defense mechanisms are being used by the nurse.
Correct Answer is D
Explanation
Battery is the intentional and offensive touching of another person without their consent. In this case, the nurse assisted with electroconvulsive therapy on a client who refused to give consent, which could be considered as battery.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.