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?
"Are you having any thoughts about hurting yourself?"
"Who is available to help you?"
"Could you describe how you are feeling today?"
"Is there anything that makes you feel less depressed?"
The Correct Answer is A
The correct answer is choice A, "Are you having any thoughts about hurting yourself?" This is the most important question to ask because it assesses the client's risk for suicide, which is a potential complication of depression. The nurse should ask this question before exploring other issues related to the client's depression. If the client expresses suicidal thoughts or intent, the nurse should initiate appropriate interventions to ensure the client's safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D. Agricultural workers who are exposed to pesticides are at risk for dizziness, headache, nausea, and vomiting. Dizziness is a common acute effect of pesticide exposure. Hypoglycemia is not a common effect of pesticide exposure, although it can occur in some cases of organophosphate poisoning. Oliguria is a decrease in urine output, and diplopia is a condition where an individual experiences double vision, neither of which is commonly associated with acute pesticide exposure.
Correct Answer is A
Explanation
"Determine potential environmental health hazards." The first action a nurse should take when developing a disaster plan for an assisted care facility is to determine potential environmental health hazards. Natural disasters, such as hurricanes, floods, and wildfires, can disrupt the delivery of healthcare services and pose a risk to the safety and well-being of residents in assisted care facilities. Identifying potential environmental hazards, such as proximity to a river, a history of flooding, or a location in a high-wind zone, is essential in developing an effective disaster plan. The plan should also include strategies for evacuation, sheltering in place, communication with staff, and coordination with local emergency management agencies.
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