A nurse is caring for a client who is homeless. What should be the nurse’s initial action?
Discuss the risks of being homeless with the client.
Determine the client’s understanding of their living situation.
Assist the client to develop goals for obtaining shelter.
Develop client teaching using a variety of strategies.
The Correct Answer is B
Choice A rationale
Discussing the risks of being homeless with the client is an important part of understanding their situation, but it is not the nurse’s initial action when caring for a client who is homeless. The nurse’s initial action should be to establish trust and understand the client’s perspective.
Choice B rationale
This is the correct answer. Determining the client’s understanding of their living situation is the nurse’s initial action when caring for a client who is homeless. This helps the nurse to understand the client’s perspective and to tailor care to meet the client’s unique needs.
Choice C rationale
Assisting the client to develop goals for obtaining shelter is an important part of the care plan for a client who is homeless, but it is not the nurse’s initial action. The nurse’s initial action should be to establish trust and understand the client’s perspective.
Choice D rationale
Developing client teaching using a variety of strategies is an important part of nursing care, but it is not the nurse’s initial action when caring for a client who is homeless. The nurse’s initial action should be to establish trust and understand the client’s perspective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale
If one parent appears frightened of the other, it could indicate a situation of domestic violence or abuse in the home. Children living in such environments are at increased risk of abuse.
Choice B rationale
A parent’s history of alcohol use disorder can increase the risk of child abuse. Substance abuse can impair a parent’s judgment and ability to care for a child, leading to neglect or abuse.
Choice C rationale
The fact that a child spends weekends with their grandparents does not inherently place them at risk for child abuse.
Choice D rationale
Financial instability can create stress and frustration, which can increase the risk of child abuse.
Choice E rationale
Having an indoor cat that sleeps with the child does not inherently place them at risk for child abuse.
Correct Answer is B
Explanation
Choice A rationale
Administering oxygen therapy is a specific medical intervention that may not be immediately necessary or appropriate depending on the cause of the symptoms. It would be more appropriate to first establish a triage area to assess the severity of the students’ conditions.
Choice B rationale
Establishing a triage area is the correct immediate action. This allows the nurse to quickly assess the severity of each student’s condition, prioritize care, and determine the appropriate next steps.
Choice C rationale
Notifying the parents of the students might be a subsequent step after assessing the students and determining the cause of the symptoms. However, it should not be the immediate action.
Choice D rationale
Contacting the local health department would be appropriate if there was a suspicion of a public health emergency, such as an outbreak of a communicable disease. However, the immediate action should be to assess the students and provide necessary care.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.