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.
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Related Questions
Correct Answer is D
Explanation
A. Avoidant personality disorder is characterized by extreme shyness, fear of rejection, and social inhibition—but not necessarily dependence on others for decision-making.
B. Antisocial personality disorder involves a disregard for the rights of others, impulsivity, and lack of remorse. It is not associated with dependence or the need for reassurance.
C. Schizoid personality disorder is marked by emotional detachment and a preference for solitary activities, rather than seeking reassurance or needing help with decisions.
D. Dependent personality disorder is characterized by a pervasive and excessive need to be taken care of, leading to submissive and clinging behavior, and difficulty making everyday decisions without reassurance from others. These features match the client’s behavior.
Correct Answer is B
Explanation
A. Warming the finger before puncturing it can help increase blood flow and make the process easier. This is an appropriate technique for self-monitoring of blood glucose (SMBG).
B. The center of the finger pad is not the best site for blood glucose testing. The side of the fingertip should be used instead to avoid discomfort and to prevent injury to the nerve endings found in the center of the pad.
C. Washing hands with soap and water is the proper technique for cleansing the hands before performing SMBG to reduce the risk of contamination.
D. A blood glucose level of 110 mg/dL is within the normal range for a non-diabetic person, and could indicate good control for a diabetic. This would be considered an appropriate response, especially if the reading is taken before meals.
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