A nurse is caring for a client whose partner died 6 months ago. Which of the following findings is the nurse's priority?

The client states that he is unable to eat more than once a day.

The client frequently recalls negative experiences that occurred during his marriage.

The client relates that he is angry that the provider did not save his partner's life.

The client says he feels guilty about not spending more time with his partner.

Answer and Explanation

The Correct Answer is A

The nurse's priority is to address the client's physical needs, such as nutrition and hydration, which are essential for survival and recovery. The client who is unable to eat more than once a day is at risk for malnutrition, dehydration, and electrolyte imbalance, which can lead to serious complications. The other findings indicate emotional distress and grief, which are also important to address, but not as urgent as the client's physical health.

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Correct Answer is B

Explanation

A: Giving the client atropine 30 min before the procedure is a task that requires professional nursing knowledge and skill to assess the medication's necessity and potential effects, thus it cannot be delegated to an assistive personnel.
B: Assisting with ambulation is a task that can be safely delegated to an assistive personnel, as it does not require the professional judgment or skill of a nurse. The assistive personnel can help maintain the client's safety while walking after the procedure.
C: Witnessing a client's signature on the consent for the procedure is a legal responsibility and requires an understanding of the procedure's risks and benefits, which is beyond the scope of assistive personnel's responsibilities.
D: Checking the client's condition after the procedure involves assessment and interpretation of clinical data, which are responsibilities of the nurse and cannot be delegated to an assistive personnel.

A. Ask staff members to describe their most traumatic memories of the event. B. Reassure staff members that the debriefing is confidential. C. Provide stress-management exercises to the staff members. D. Have staff members discuss their involvement in the event.

Correct Answer is B

Explanation

The rationale is that confidentiality is essential to create a safe and trusting environment for staff members to share their feelings and experiences without fear of judgment or reprisal.

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A nurse is caring for a client whose partner died 6 months ago. Which of the following findings is the nurse's priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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