A nurse is assisting with the admission assessment for a client who is receiving treatment following a situational crisis. Which of the following actions is the nurse's priority?
Identifying if friends or family are available to help
Identifying the client's coping skills
Determining if the client has thoughts of self-harm
Asking the client to identify the cause of the crisis
The Correct Answer is C
A. Identifying if friends or family are available to help: Important for support but not the immediate priority.
B. Identifying the client's coping skills: Important for long-term care but not the immediate priority.
C. Determining if the client has thoughts of self-harm: Correct. Assessing for self-harm or suicidal ideation is crucial for immediate safety.
D. Asking the client to identify the cause of the crisis: Important for understanding the crisis but not the immediate priority.
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Related Questions
Correct Answer is C
Explanation
A. Public safety: While public safety is important, the primary aim of hospitals established by Dorothea Dix was not specifically for this purpose.
B. Confinement: Confinement was a method used in earlier institutions but does not reflect the progressive goals of Dorothea Dix’s efforts, which focused on more humane care.
C. Therapeutic milieu: Dorothea Dix advocated for creating a therapeutic environment and improving mental health care, which aligns with the concept of a therapeutic milieu.
D. Asylum: While Dix’s efforts did contribute to the establishment of asylums, her main goal was to improve care and treatment for the mentally ill rather than simply creating asylums.
Correct Answer is C
Explanation
A. "You are in really good shape for your age." This response minimizes the client’s feelings and focuses on physical condition rather than addressing the emotional and existential concerns expressed by the client.
B. "This is just a minor setback. You will be back on your feet in no time." This response downplays the significance of the client’s feelings and may be perceived as dismissive. It does not address the client’s concerns about the end of life.
C. "You feel as though your life is ending?" This response acknowledges and validates the client’s feelings, providing an opportunity for further exploration and support. It shows empathy and encourages the client to express their emotions.
D. "The doctors are going to take good care of you. There is nothing to worry about." This response reassures the client about medical care but does not address the emotional aspect of the client’s statement regarding the end of life.
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