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?

"How do you think this event is affecting your life right now?".

"Are you having thoughts about harming yourself?".

"What do you usually do to cope with problems in your life?".

"Who do you talk to when you need help?".

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Asking how the event is affecting the client's life is important, but it is not the priority during a situational crisis. Safety and assessing for self-harm thoughts come first.

Choice B rationale:

This question is the priority because it assesses the client's safety and potential for self-harm, which is crucial during a crisis. If the client is having thoughts of self-harm, immediate intervention is required.

Choice C rationale:

Inquiring about the client's coping strategies is relevant, but it is not the primary concern when there is a potential risk of self-harm.

Choice D rationale:

Asking about who the client talks to for help is important but not the primary concern in a situation where self-harm may be a risk.

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Correct Answer is B

Explanation

Choice B rationale:

Confidentiality is a fundamental principle in debriefing sessions, and reassuring staff members that the debriefing is confidential helps create a safe environment where they can openly discuss their experiences. This choice sets the foundation for open communication and trust among the participants.

Choice A rationale:

Asking staff members to describe their most traumatic memories of the event as the first intervention may not be the best approach. This could be overwhelming and trigger emotional distress in participants. It's essential to start the debriefing with a more general and supportive approach.

Choice C rationale:

Having staff members discuss their involvement in the event is important, but it's better suited for a later stage of the debriefing process. The initial focus should be on creating a safe and confidential environment for participants to express their feelings.

Choice D rationale:

Providing stress-management exercises to the staff members is a valuable intervention but should be introduced after the initial stage of creating a safe and supportive atmosphere. It's essential to address the emotional needs and concerns of the participants before moving on to stress-management techniques. .

A. Administer a dose of alprazolam to the client. B. Encourage the client to describe their feelings in a journal. C. Encourage the client to watch television as a distraction. D. Administer a dose of atomoxetine to the client.

Correct Answer is A

Explanation

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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?