A nurse is caring for a client who is exhibiting symptoms of emotional and physical trauma. Which of the following nursing actions is a priority when providing trauma-informed care for this client?
Contact a social worker to report abuse.
Ensure that the client is safe.
Encourage the client to talk about the experience.
Assess the client for social and family support.
The Correct Answer is B
A. Although reporting abuse may be necessary, the priority action is ensuring the client’s immediate safety. Addressing safety first is fundamental before proceeding with other interventions.
B. The first priority in trauma-informed care is to ensure that the client is safe. Safety is essential to help the client begin the healing process, both physically and emotionally.
C. While encouraging the client to talk about their experience may be part of the therapeutic process, it is not the priority before ensuring safety. Forcing the client to talk too soon can increase distress.
D. Assessing social and family support is important but should be done after ensuring the client’s immediate safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Recent use of antibiotics is the greatest risk factor for developing C. difficile infection. Antibiotics disrupt the normal gut flora, allowing C. difficile to overgrow and produce toxins that cause severe diarrhea and colitis.
B. Prolonged rehabilitation stays can increase exposure to hospital-acquired infections but are not as strongly associated with C. difficile as antibiotic use.
C. Staying in the ICU can increase the risk for various infections, but it’s the antibiotic use commonly associated with ICU care that elevates C. difficile risk—not the ICU stay itself.
D. Recent surgery may raise infection risk in general, but it is not as specifically linked to C. difficile as antibiotic therapy is.
Correct Answer is C
Explanation
A. Acinetobacter baumannii is an opportunistic pathogen often associated with hospital-acquired infections, but it is not the most prevalent due to the use of unnecessary antibiotics.
B. Clostridioides difficile (C. diff) infections are largely the result of broad-spectrum antibiotic use, but it is not the most prevalent pathogen overall in the U.S.
C. MRSA (Methicillin-resistant Staphylococcus aureus) is one of the most common and prevalent antibiotic-resistant bacteria in the U.S. It has become more widespread due to overuse and misuse of antibiotics.
D. Vancomycin-resistant Enterococci (VRE) is another significant pathogen related to antibiotic resistance, but it is less prevalent compared to MRSA.
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