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 D
Explanation
A. "It enables clients to see that other individuals have mental health issues." This option is partially correct because one of the benefits of group therapy is that it helps clients understand they are not alone in their struggles and that others share similar issues. This can be comforting and validating for clients.
B. "It provides a forum to reinforce client teaching regarding medication administration." This is not typically the primary function of group therapy. While medication education may occasionally be part of group discussions, the main focus of group therapy is on interpersonal interactions and support rather than specific teaching about medication.
C. "It is economical, since one staff member can treat many clients at once." Although group therapy can be cost-effective, this reason is secondary to its therapeutic value. The primary goal of group therapy is to provide therapeutic benefits through interaction and shared experiences rather than focusing on cost-efficiency.
D. "It establishes a situation where the client can relate to others and share perceptions." This option is the most accurate. Group therapy allows clients to relate to others with similar issues, share experiences, and gain support, which is fundamental to the therapeutic process.
Correct Answer is D
Explanation
A. Role reversal: Role reversal occurs when individuals switch roles with each other, which is not applicable in this context.
B. Unconditional regard: Unconditional positive regard refers to showing complete acceptance of the client regardless of their actions or behaviors. This term does not describe the phenomenon of the nurse's feelings based on past experiences.
C. Transference: Transference is when a client projects feelings about someone from their past onto the therapist or nurse. This term does not describe the nurse's feelings based on past experiences.
D. Countertransference: Countertransference occurs when a nurse develops feelings toward a client based on the nurse's own past experiences or emotions. This is the correct term for the situation described.
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