A nurse is caring for a who requires a crisis intervention for acute anxiety. Which of the following actions is the highest priority?

Identify the clients’ coping skills.

Determine the cause of the client's anxiety.

Ensuring that the client feels safe.

Protecting the client from injury

Answer and Explanation

The Correct Answer is D

During a crisis, the client may be at risk of harming themselves or others. The nurse should take steps to ensure the safety of the client and those around them. Once the immediate safety concerns have been addressed, the nurse can then focus on identifying the cause of the client’s anxiety and helping them develop coping skills.

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Correct Answer is A

Explanation

Passive-aggressive behavior is characterized by indirect resistance to the demands of others and an avoidance of direct confrontation. In this case, the worker is demonstrating passive-aggressive behavior by initially agreeing to the project but then making excuses and not completing it.

A. Pulse rate: 55 beats/min B. Serum potassium: 3.5 mEq/L C. Systolic blood pressure: 62 mm Hg D. urine output: 90 ml/3 hr.

Correct Answer is C

Explanation

A systolic blood pressure of 62 mm Hg indicates severe hypotension and is a medical emergency. This is a life-threatening situation that requires immediate hospitalization for stabilization and treatment. Clients with eating disorders are at risk of electrolyte imbalances, cardiac complications, and other medical complications due to malnutrition and dehydration. While the other options are also abnormal findings, they are not as severe as the critically low blood pressure measurement. Therefore, the priority for hospitalization would be the client with severe hypotension.

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A nurse is caring for a who requires a crisis intervention for acute anxiety. Which of the following actions is the highest priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

Which assessment finding for a client diagnosed with an eating disorder meets a criterion for hospitalization? Select one:

Correct Answer is C

Explanation

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