A nurse is caring for a client who has just learned that their partner has died by suicide. Which of the following actions should the nurse take first?
Refer the client to a support group for survivors of suicide.
Offer to contact the client's family or support system.
Inform the client that feelings of guilt are often felt by survivors of suicide.
Determine the client's understanding of the suicide events.
The Correct Answer is D
A reason: Refer the client to a support group for survivors of suicide. While referring the client to a support group is important for long-term support, it is not the immediate priority in this acute moment of grief.
B reason: Offer to contact the client's family or support system. Offering to contact family or support systems is supportive but not the first priority. The nurse should first assess the client's immediate emotional and cognitive state.
C reason: Inform the client that feelings of guilt are often felt by survivors of suicide. Providing information about common feelings of guilt can be helpful, but the nurse should first understand the client's current state and their specific needs.
D reason: Determine the client's understanding of the suicide events. The first priority is to assess the client's understanding and emotional response to the news. This helps the nurse provide appropriate support and address any immediate misconceptions or distress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A reason: "I agree with you. I'm sure this will never happen again." Agreeing with the parent without further investigation is inappropriate and does not address the potential risk to the child. The nurse should gather more information to assess the situation fully.
B reason: "This is awful. You should file charges against your partner." Suggesting that the parent file charges is premature without understanding the full context of the situation. The nurse's role is to gather information, assess the risk, and take appropriate protective actions.
C reason: "This is clearly child endangerment. I will have to call the police." While the nurse has a responsibility to report suspected child abuse, it is important to gather more information first. This response could escalate the situation without a thorough assessment.
D reason: "I'd like to know more about what happened. Let's sit and talk." This response is appropriate as it allows the nurse to gather more information about the situation in a non-confrontational manner. It helps build rapport with the parent while assessing the child's safety.
Correct Answer is ["A","C","D"]
Explanation
A reason: Lack of eye contact. Children with autism spectrum disorder (ASD) often exhibit reduced or lack of eye contact, which can be a key indicator of social communication difficulties associated with ASD.
B reason: Inability to play quietly. While some children with autism might exhibit hyperactive behavior, an inability to play quietly is not a specific characteristic of ASD. It can be seen in various conditions, including attention deficit hyperactivity disorder (ADHD).
C reason: Constant spinning of a toy. Repetitive behaviors, such as spinning objects, are common in children with ASD. These behaviors provide sensory input and can be calming for the child.
D reason: Withdrawal from physical contact. Children with ASD often withdraw from physical contact due to sensory sensitivities. They might find certain touches uncomfortable or overwhelming.
E reason: Repeated voicing in clothes. Repeating phrases or sounds, known as echolalia, is common in ASD, but "repeated voicing in clothes" does not accurately describe this behavior. It seems like a typographical error.
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