A nurse is caring for a client who is admitted to a mental health facility after attempting suicide. Which of the following actions should the nurse take first?
Implement continuous one-to-one observation.
Encourage the client to participate in group therapy.
Ask the client to sign a no-suicide contract.
Establish a rapport to foster trust.
The Correct Answer is D
The nurse should first establish a rapport with the client to promote a therapeutic relationship and create a safe environment. This will help the client feel more comfortable and willing to share their feelings and concerns. The other actions are also important, but they are not the priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Clozapine is an antipsychotic medication that can cause agranulocytosis, a potentially life-threatening condition that reduces the number of white blood cells and increases the risk of infection. A sore throat is a sign of infection and should be reported immediately. The other clients are not in immediate danger and can be seen later.
Correct Answer is B
Explanation
Planning a menu with the client helps to establish a regular eating pattern and promotes a sense of control and autonomy. Weighing the client every other day may increase anxiety and trigger bingeing. Remaining with the client for 1 hr after meals may be perceived as punitive and intrusive. Offering snacks when the client is hungry may reinforce bingeing behavior.
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