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 ["C","D","E"]
Explanation
The correct answer is choices C, D, and E. Hospice care is a type of healthcare that focuses on improving the quality of life for individuals who have a terminal illness. Patients who receive hospice care have the option to discontinue this service whenever they want. Hospice care can be provided at home, hospital, or any other place that the patient calls home. In addition, hospice care involves a team of interprofessional team members, such as nurses, social workers, chaplains, and counselors, who provide care to the patient and their family. Hospice care is covered by Medicare, and the patient doesn't need private insurance to receive hospice services. Patients are recommended for hospice care when they have a life expectancy of 6 months or less.
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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