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 C
Explanation
The client is experiencing fear and anxiety while awaiting the biopsy report, which is a common reaction.
Response a, “Worrying is not going to help the situation," may come across as dismissive or insensitive, and may make the client feel like their emotions are not valid.
Response b, “Let’s wait until we hear what the biopsy report says," may be appropriate in some situations, but it does not acknowledge the client's emotions or offer any support.
Response d, “Operations are not performed unless there are no other options,” is not a relevant response to the client's fear of a cancer diagnosis.
The most appropriate response, option c, acknowledges the client's feelings and offers support, which can help the client feel heard and validated. The nurse can also offer additional support by providing information on coping mechanisms or resources available to the client to help them manage their anxiety while they wait for the results.
Correct Answer is A
Explanation
Sublimation is a defense mechanism in which socially unacceptable impulses or drives are redirected into socially acceptable activities or behavior. For example, someone who has aggressive tendencies may channel those impulses into playing competitive sports, or someone who has sexual desires may channel those impulses into creative work like painting or writing.
Regression refers to a defense mechanism where an individual retreats to an earlier stage of development, such as acting like a child when under stress. Undoing is a defense mechanism in which an individual tries to undo or negate a previous action or thought, such as making up for a mistake by performing a good deed. Suppression is a defense mechanism where an individual consciously avoids thinking about or dealing with certain thoughts or emotions.
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