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A nurse in a community health clinic is assessing a client who has two preschoolers, was recently divorced, and is seeking help for managing depression. Which of the following questions should the nurse ask first?

"Who is available to help you?"

"Is there anything that makes you feel less depressed?"

"Are you having any thoughts about hurting yourself?"

"Could you describe how you are feeling today?"

Answer and Explanation

The Correct Answer is C

A. "Who is available to help you?"

While support systems are important, assessing for suicidal thoughts takes precedence to ensure the client's safety.

B. "Is there anything that makes you feel less depressed?"

Exploring coping mechanisms and what alleviates depressive symptoms is important, but it may not be the most urgent concern in this context.

C. "Are you having any thoughts about hurting yourself?"

This question is crucial as it assesses the client's risk of self-harm or suicide, which is a priority concern in someone seeking help for depression. It helps identify the immediate safety of the client.

D. "Could you describe how you are feeling today?"

While exploring the client's feelings is important, the question about thoughts of self-harm directly addresses the immediate risk associated with depression.

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Correct Answer is B

Explanation

A. Centers for Disease Control and Prevention

While the CDC provides valuable information on various health-related topics, the EPA is the primary agency addressing environmental hazards like asbestos.

B. Environmental Protection Agency

The Environmental Protection Agency (EPA) is the federal agency responsible for protecting human health and the environment. It oversees issues related to environmental hazards, including asbestos exposure. Asbestos is a known carcinogen, and the EPA provides guidelines and regulations for its safe removal and handling.

C. National Institutes of Health

The National Institutes of Health (NIH) focuses on biomedical and health-related research but is not the primary agency for regulating or addressing environmental hazards.

D. Department of Health and Human Services

The Department of Health and Human Services (HHS) oversees various health-related agencies, but for issues related to environmental hazards, the EPA is more directly relevant.

A. The client's blood pressure is 132/56 mm Hg. B. The client's arthritis pain has improved, C. The client's leg wound is healing D. The client is sleeping through the night

Correct Answer is B

Explanation

A. The client's blood pressure is 132/56 mm Hg.

Echinacea is not typically associated with significant effects on blood pressure. Monitoring blood pressure is essential but may not be directly related to the effectiveness of echinacea for the stated purpose.

B. The client's arthritis pain has improved.

Echinacea is often used as an alternative therapy, particularly for its potential immunostimulant properties. While its effectiveness is debated, some individuals report relief from symptoms, including arthritis pain. Monitoring the improvement of arthritis pain would be a relevant indicator of the treatment's effectiveness in this context.

C. The client's leg wound is healing.

Echinacea is not primarily known for its wound healing properties. Other factors, such as wound care practices and overall health, would likely have a more direct impact on the healing of a leg wound.

D. The client is sleeping through the night.

Echinacea is not typically associated with improvements in sleep patterns. Other factors, such as sleep hygiene or the resolution of conditions affecting sleep, would be more relevant in this context.

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A nurse in a community health clinic is assessing a client who has two preschoolers, was recently divorced, and is seeking help for managing depression. Which of the following questions should the nurse ask first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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