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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Place a pillow between the client's legs prior to logrolling. - Placing a pillow between the client's legs helps maintain proper alignment of the spine and prevents excessive twisting or stress on the surgical site during logrolling.
B) Place the client in semi-Fowler's position prior to logrolling. - Semi-Fowler's position may not be necessary or appropriate for logrolling a postoperative laminectomy client.
C) Place the client's arms above her head prior to logrolling. - This position may cause discomfort or strain on the client's shoulders and is not recommended for logrolling.
D) Place the bed in the lowest position before logrolling the client. - Lowering the bed is not necessary for logrolling and may not be relevant to the client's comfort or safety during repositioning.
Correct Answer is B
Explanation
A) Hearing acuity intact - Intact hearing acuity does not directly increase the risk for potential client injuries.
B) Oriented to person only - Being oriented to person only may indicate confusion or disorientation, which can increase the risk for potential client injuries due to impaired decision-making or awareness of surroundings.
C) Full range of motion bilateral lower extremities - Having a full range of motion in the lower extremities does not directly increase the risk for potential client injuries.
D) Ability to use call light - The ability to use a call light indicates the client's ability to seek assistance, which reduces the risk for potential client injuries.
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