A nurse is caring for a client who is homeless. Which of the following actions should the nurse take first?
Determine the client's understanding of her living situation.
Discuss the risks of being homeless with the client.
Assist the client to develop goals for obtaining shelter.
Develop client teaching using a variety of strategies.
The Correct Answer is A
The first action the nurse should take is to determine the client's understanding of her living situation. This will help the nurse to assess the client's level of knowledge and understanding about her situation and tailor interventions accordingly.
It will also help the nurse to establish a therapeutic relationship with the client and create a safe and trusting environment.
Once the nurse has assessed the client's understanding, she can then proceed to assist the client in developing goals for obtaining shelter, discussing the risks of being homeless, and developing client teaching using a variety of strategies as needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Alcohol withdrawal can cause a range of symptoms, including anxiety, tremors, hallucinations, and seizures. Seizures are a potentially serious complication of alcohol withdrawal that can occur within the first 24-48 hours after a person stops drinking. Hyperglycemia, or high blood sugar, is not typically associated with alcohol withdrawal. Hypotension, or low blood pressure, can occur in severe cases of alcohol withdrawal, but it is not a primary manifestation. Somnolence, or drowsiness, may be present in some cases of alcohol withdrawal, but it is not a primary manifestation and is not typically a cause for concern.
Correct Answer is B
Explanation
The first priority in discharge planning for this client should be to arrange for a home health nurse to visit the client following discharge to monitor the client's health and provide support. The client's condition is complex and requires ongoing monitoring and support to prevent relapse and ensure safety.
Providing the client with information on self-help groups and determining home safety measures are also important components of the discharge plan, but they should come after ensuring that the client has the necessary support in place. Contacting a social worker to assist with managing finances is not a priority at this time.
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