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.
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Related Questions
Correct Answer is D
Explanation
A. "A social worker can help you with the cost of supplies."
While assistance with the cost of supplies is important, understanding the living situation is crucial for determining the specific needs related to the special bed.
B. "Apply moisture barrier ointment three times a day."
Wound care instructions are important, but the client's living environment should be assessed first to ensure that the necessary conditions for proper care can be met.
C. "Eat a balanced diet with high-protein snacks."
Nutrition is an essential aspect of wound healing, but assessing the living situation takes precedence in the context of discharge planning.
D. "Describe the place where you are currently living"
This question is important to assess the client's living environment, as it will help in planning for the necessary accommodations and arrangements to prevent further pressure injuries.
Correct Answer is C
Explanation
A. "I apologize for the dishes piling up in the kitchen sink":
Apologizing for the dishes piling up may indicate a sense of stress or feeling overwhelmed, rather than adapting positively to the caregiving role.
B. "I am still trying to rearrange the furniture so they can use their walker":
While rearranging furniture to accommodate the client's needs is helpful, it doesn't necessarily reflect adaptation to the caregiver role in terms of self-care or seeking external support.
C. "I have a neighbor coming over so I can go get my hair cut and styled."
This statement suggests that the caregiver is seeking support from a neighbor, allowing them to take a break and prioritize self-care by getting their hair cut and styled. Seeking assistance and taking time for personal well-being indicate an adaptive approach to the caregiving role.
D. "I will need financial assistance if I don't get back to my job soon":
Expressing a need for financial assistance due to the inability to return to work may suggest financial concerns but doesn't directly indicate adaptation to the caregiving role. Adaptation involves finding effective ways to manage the caregiving responsibilities while addressing personal needs.
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