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.

Answer and Explanation

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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Correct Answer is ["A","E"]

Explanation

A. Statement regarding outlook on living is a priority concern because the client stated, "I can't go on living without my child." This indicates possible suicidal ideation and requires immediate assessment and intervention for client safety.
B. Statement related to feelings of sadness and anger is an expected reaction in the grieving process. While it should be monitored, it is not an immediate safety risk and therefore not the top priority.
C. Knowledge of expectations during group meetings is related to participation in therapy, not a pressing concern that threatens the client’s wellbeing.
D. Awareness of the therapist's role shows insight and is helpful for therapy engagement, but is not urgent.
E. Statement related to use of pharmacological interventions is a priority because the client reports non-adherence to prescribed Sertraline due to a belief it won’t help. Noncompliance with medication can worsen depression and increase suicide risk, making this a key issue to address immediately.

A. Lung B. Melanoma of skin C. Thyroid D. Breast E. Colorectal

Correct Answer is ["A","B","E"]

Explanation

A. Lung cancer is more common in males, particularly due to higher smoking rates historically, although both men and women are at risk.
B. Melanoma of the skin is more common in males, especially in older age groups. While it is important for both genders to protect their skin, men tend to develop more aggressive forms of melanoma.
C. Thyroid cancer is actually more common in women than men, though men are more likely to die from it.
D. Breast cancer is far less common in males than in females, though men can develop it, the incidence is much lower.
E. Colorectal cancer is more common in males than females, with men being at a higher risk overall.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","E"]

Explanation

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Explanation

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