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?"
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. My athlete's foot is almost gone."
Explanation: Tea tree oil is known for its antifungal properties, and it is commonly used to treat conditions such as athlete's foot. The client reporting that their athlete's foot is almost gone suggests that the tea tree oil has been effective in treating the fungal infection.
B. "I haven't had a migraine headache this month."
Explanation: Tea tree oil is not typically associated with the treatment of migraines. Migraines are complex and have various causes, and there is limited evidence to support the use of tea tree oil for migraine relief.
C. "The pain in my back has decreased."
Explanation: While some essential oils may have analgesic properties, tea tree oil is not primarily known for its pain-relieving effects. Other essential oils, such as lavender or peppermint, are more commonly associated with pain relief.
D. "My sleeping has improved over the last 3 weeks."
Explanation: While certain essential oils, like lavender, are known for their potential to promote relaxation and improve sleep, tea tree oil is not typically used for this purpose. Improved sleep is more likely related to other factors, and the effectiveness of tea tree oil is not directly associated with sleep improvement.
Correct Answer is ["A","D"]
Explanation
A. Refer workers who report difficulty hearing for further auditory testing.
This is a secondary prevention activity as it involves identifying and addressing potential hearing issues early on through referral for auditory testing. Early detection and intervention aim to prevent further deterioration or complications.
B. Demonstrate proper lifting techniques for the workers.
Demonstrating proper lifting techniques is a primary prevention activity. It aims to prevent the initial occurrence of musculoskeletal injuries by promoting safe practices.
C. Encourage the workers to use back braces provided by the employer.
Encouraging the use of back braces is a tertiary prevention activity. It focuses on managing and minimizing the impact of existing conditions (such as back strain) rather than preventing their occurrence.
D. Conduct visual screenings for workers operating equipment.
Conducting visual screenings is a secondary prevention activity aimed at detecting potential visual impairments among workers operating equipment. Early identification can help prevent accidents and injuries related to impaired vision.
E. Educate the workers on the importance of safety goggles.
Educating workers on the importance of safety goggles is a primary prevention activity. It aims to prevent initial eye injuries by promoting the use of protective equipment.
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