A nurse caring for a client is preparing to access the client’s implanted medication port (Medi port). The client states, “Every time I have to have my port accessed, I get extremely anxious, and I have heart palpitations.” Which response by the nurse would be most appropriate for the assessment stage of crisis intervention?
“Let's talk to the doctor about getting something ordered before the procedure."
“That must be overwhelming considering how often we access the port."
"Do you think you will be able to control your anxiety in the future?'
“What have you done in the past to relieve or reduce your anxiety during the procedure?"
The Correct Answer is D
This response by the nurse would be most appropriate for the assessment stage of crisis intervention because it focuses on understanding the client’s past experiences and coping mechanisms. By asking the client about what has worked for them in the past, the nurse can help the client identify and use effective strategies to manage their anxiety during the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nurse has violated the mayor's right to privacy and confidentiality by disclosing his medical information to a third party without his consent. This action can lead to a charge of breach of confidentiality.
Additionally, the statement made by the nurse could be considered defamatory as it is likely to harm the mayor's reputation and could be interpreted as an accusation of a crime or moral wrongdoing. Therefore, the nurse could be charged with defamation of character. False imprisonment and batery are not relevant to the situation described.
Correct Answer is D
Explanation
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.
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