A nurse in a mental health clinic is caring for a client who is grieving.
A nurse is caring for a client who is grieving. Which of the following findings should the nurse identify as a priority to address? Select all that apply.
Statement regarding outlook on living
Statement related to feelings of sadness and anger.
Knowledge of expectations during group meetings.
Awareness of the therapist's role.
Statement related to use of pharmacological interventions.
Correct Answer : A,B,E
A. The client's statement, "I can't go on living without my child," indicates a potentially serious risk to their safety and well-being. This statement suggests that the client may be experiencing suicidal ideation or extreme despair, which requires immediate attention and intervention.
B. While sadness and anger are expected components of grief, the intensity of these feelings and their persistence need to be assessed for any signs of complicated grief or potential for self-harm. Addressing these emotions is critical to ensuring the client’s safety and providing appropriate support.
C. While understanding the expectations during group meetings is important for therapy, it is not as immediately critical as addressing the client's statements about their outlook on living and their medication adherence.
D. Knowledge about the therapist’s role is important for therapeutic alliance, but it is less urgent compared to addressing the client’s potentially dangerous outlook on living and their medication issues.
E. The client’s refusal to take the prescribed medication, with the belief that it "will not help," indicates a possible issue with medication adherence or effectiveness. This needs to be addressed to ensure that the client is receiving appropriate treatment for their mental health needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Rationale:
A. Bananas are high in potassium and should be avoided by clients with chronic kidney disease.
B. Green beans are relatively low in potassium compared to other options and do not need to be avoided.
C. Tomatoes are high in potassium and should be limited in the diet.
D. Raisins are high in potassium and should be avoided.
E. Asparagus is not particularly high in potassium and can generally be included in a renal diet.
Correct Answer is A
Explanation
Rationale:
A. Offering information about a support group is a supportive measure that can help the client manage their condition while parenting.
B. Encouraging children to visit the psychiatric unit may not be appropriate or therapeutic for the client or the children.
C. Suggesting that the children live with other relatives is a significant intervention that may not be necessary without further assessment.
D. Notifying child protective services is not warranted unless there is clear evidence of child neglect or abuse.
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