A nurse is assessing a client who recently experienced the loss of their partner. Which of the following questions is the priority for the nurse to ask during this situational crisis?
"Who do you talk to when you need help?"
"Are you having thoughts about harming yourself?"
"What do you usually do to cope with problems in your life?"
"How do you think this event is affecting your life right now?"
The Correct Answer is B
The priority for the nurse is to assess the client's safety and risk of self-harm or suicide, which may increase during a situational crisis. The other questions are also important to explore, but they are not as urgent as assessing for suicidal ideation or intent.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nurse can delegate basic care tasks such as assisting with ambulation to an assistive personnel, as long as they are trained and supervised. The other tasks require nursing judgment or knowledge and should not be delegated.
Correct Answer is D
Explanation
The rationale is that a client who is legally incompetent cannot give informed consent, and the nurse should obtain consent from the person who has the legal authority to make decisions for the client, such as a guardian or a durable power of attorney.
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