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 D
Explanation
- A client whose grief response begins following a terminal diagnosis: This may indicate anticipatory grief, which is a normal response to an expected loss, not necessarily exaggerated grief.
- A client whose grief response is repressed: Repressed grief involves suppressing or denying feelings of grief, which can lead to complications, but it is not necessarily exaggerated.
- A client whose grief response is triggered by a secondary loss: Secondary losses can complicate the grieving process, but the response may still be within the range of normal grief reactions.
- A client whose grief response leads to self-destructive behaviors: Exaggerated grief involves intense and prolonged symptoms of grief that significantly impair functioning, such as self-destructive behaviors, excessive guilt, or persistent suicidal ideation.
Correct Answer is C
Explanation
A) Add 0.5 mL of diluent to the medication. - This action is not appropriate for administering medication from an ampule since the diluent may alter the concentration and dosage of the medication.
B) Inject air into the ampule prior to drawing the medication into a syringe. - Injecting air into the ampule is unnecessary and may cause contamination.
C) Use a filter needle to aspirate the medication. - Filter needles can prevent glass particles from being drawn into the syringe when aspirating medication from an ampule.
D) Cleanse the tip of the ampule with an alcohol swab after opening. – This action is unnecessary and may contaminate the medication.
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