A nurse is caring for a client who is homeless. Which of the following actions should the nurse take first?
Develop client teaching using a variety of strategies.
Determine the client's understanding of her living situation.
Assist the client to develop goals for obtaining shelter.
Discuss the risks of being homeless with the client.
The Correct Answer is B
Choice B is correct because: Understanding the client's perspective on their living situation will help the nurse determine whether the client is aware of risks (such as unsafe living conditions or being at risk of harm) and if they need immediate interventions, like a safe place to stay or healthcare.
Developing client teaching using a variety of strategies (Choice A is wrong because) may be important for the client's long-term success, but it is not the priority at this time. While securing shelter is essential, the first step is to determine if the client recognizes their need for shelter, and whether they are ready or able to develop those goals themselves. Discussing the risks of being homeless with the client (Choice D is wrong because) can be done once the client's immediate need for shelter is met.
Choice A is wrong because: Developing client teaching using a variety of strategies is not the first priority in this situation.
Choice B is wrong because: Determining the client's understanding of her living situation is not the first priority in this situation.
Choice D is wrong because: Discussing the risks of being homeless with the client is not the first priority in this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is Choice C because, "Refer clients to the appropriate community agency if signs of abuse are evident." This is the correct answer because it is an appropriate secondary prevention strategy related to violence and abuse. By referring clients to the appropriate community agency, the nurse is providing a proactive measure to prevent further harm and ensure that the client receives appropriate care.
Choice Ais wrong because, "Teach a parenting skills class at a child development center," is not the correct answer because it is a primary prevention strategy and not related to violence and abuse.
Choice Bis wrong because, "Assess clients for withdrawal and passivity during home health visits," is not the correct answer because it is a secondary prevention strategy related to depression, not violence and abuse.
Choice Dis wrong because, "Coordinate a personal defense program at a local agency," is not the correct answer because it is a tertiary prevention strategy and not related to violence and abuse.
Correct Answer is D
Explanation
The correct answer is Choice A because, Double-bag soiled dressings in polyethylene bags. The nurse should double-bag soiled dressings in polyethylene bags to contain the infection and prevent the spread of methicillin-resistant Staphylococcus aureus (MRSA). The bags should be securely tied and labeled as contaminated.
Choice B is wrong because, Encourage the client to use a HEPA filter in the house, is not the correct answer because a HEPA filter is not effective in controlling the spread of MRSA.
Choice C is wrong because, Wear a mask when within 3 feet of the client, is not the correct answer because wearing a mask is not necessary unless the nurse is providing direct care to the client and is within 3 feet of them.
Choice D is wrong because, Remove fresh flowers from the client's home, is not the correct answer because fresh flowers are not a source of MRSA.
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