A nurse is assisting with the care of a client who has a recent diagnosis of a chronic condition and is exhibiting findings of ineffective coping. Which of the following actions should the nurse take first?

Determine if the client has a support system.

Schedule a mental health consult for the client.

Provide the client with information about coping strategies.

Encourage the client to attend a support group.

Answer and Explanation

The Correct Answer is A

A)   Determine if the client has a support system. - Assessing the client's current support network is essential to determine available resources and potential interventions.
B)   Schedule a mental health consult for the client. - While mental health support may be necessary, understanding the client's existing support system is the first step.
C)   Provide the client with information about coping strategies. - Providing coping strategies is important but should come after assessing the client's support system.

D)   Encourage the client to attend a support group. - Encouraging attendance at support groups can be helpful, but it's important to assess the client's current support system first.

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Correct Answer is C

Explanation

A) BMI of 24 - A BMI of 24 falls within the normal range and is not considered a risk factor for cardiovascular disease.
B) Orthostatic hypotension - While orthostatic hypotension can be a sign of cardiovascular dysfunction, it is not a direct risk factor for cardiovascular disease.
C) Type 1 diabetes mellitus - Type 1 diabetes mellitus is a significant risk factor for cardiovascular disease due to its impact on blood sugar control and increased risk of atherosclerosis.
D) Family history of osteoporosis - While a family history of certain medical conditions can be indicative of genetic predispositions, osteoporosis is not directly linked to cardiovascular disease.

A. Placing the restraint across the client's chest B. Applying the restraint over the client's gown C. Using a quick-release tie to secure the restraint D. Tying the restraint to the bed frame

Correct Answer is A

Explanation

A) Placing the restraint across the client's chest - This is not a safe practice since it can restrict breathing increasing the risk of asphyxiation.
B) Applying the restraint over the client's gown - Restraints should be applied over the clients gown and not directly to the client's skin to prevent friction and skin breakdown.
C) Using a quick-release tie to secure the restraint - Quick-release ties are important for ensuring that restraints can be quickly removed in case of an emergency.
D) Tying the restraint to the bed frame – Tying restraints on the bed frame is the recommended practice. Restraints should not be tied on the bed rails to avoid injuries if the side rails are released.

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A nurse is assisting with the care of a client who has a recent diagnosis of a chronic condition and is exhibiting findings of ineffective coping. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is reviewing data from a client's medical record. Which of the following findings should the nurse identify as a risk factor for cardiovascular disease?

Correct Answer is C

Explanation

A nurse is observing an assistive personnel (AP) apply a belt restraint to a client. Which of the following actions by the AP requires intervention by the nurse?

Correct Answer is A

Explanation

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