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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Disclose some personal information to the client: Disclosing personal information is not appropriate and may not help in building trust.
B. Wait for the client to initiate interactions with the nurse. This approach might prolong the establishment of trust and rapport.
C. Set aside short, frequent times each day to spend with the client. Regular, consistent interaction helps build trust and establish a relationship.
D. Tell the client he reminds the nurse of her father. Making personal comparisons can be inappropriate and may not be helpful in building a professional relationship.
Correct Answer is B
Explanation
A. You must be devastated. This response presumes the client's feelings, which may or may not be accurate.
B. Sounds like it has been a difficult time. This response acknowledges the client’s feelings and the difficulty of their situation without making assumptions about their emotional state. It shows understanding and support, which are key components of empathetic communication.
C. When one door closes, another door opens. This response can come across as dismissive or minimizing the client's feelings.
D. I'm so sorry, no wonder you are upset. This response combines sympathy and a presumption of the client's feelings, which may not fully convey empathy.
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