A nurse is caring for several clients who are attending community-based mental health programs. Which Of the following clients should the nurse plan to visit first?
Select one:
A client who recently burned her arm by accident while using a hot iron at home.
A client who tells the nurse he experienced manifestations of severe anxiety before and during a job interview.
A client who requests that her antipsychotic medication be changed due to some new adverse effects.
A client that says he is hearing a voice that tells him he is not worthy of living anymore.
The Correct Answer is D
This client is experiencing auditory hallucinations and may be at risk for self-harm or suicide. The nurse should prioritize visiting this client first to assess their safety and provide appropriate interventions.
Option a. A client who recently burned her arm by accident while using a hot iron at home may require wound care and education on safety, but this situation is not as urgent as the client experiencing auditory hallucinations.
Option b. A client who tells the nurse he experienced manifestations of severe anxiety before and during a job interview may benefit from interventions to manage anxiety, but this situation is not as urgent as the client experiencing auditory hallucinations.
Option c. A client who requests that her antipsychotic medication be changed due to some new adverse effects may require medication adjustment and monitoring for side effects, but this situation is not as urgent as the client experiencing auditory hallucinations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The ethical principle of justice refers to the fair and equal treatment of all individuals. In this situation, the nurse is concerned about whether the team is behaving ethically by using different approaches to prevent self-mutilation in two patients. The nurse is questioning whether the team is treating both patients fairly and equally.
Option a. Veracity refers to the principle of truth-telling and honesty.
Option b. non-maleficence refers to the principle of doing no harm.
Option c. Autonomy refers to the principle of respecting an individual’s right to make their own decisions.
Correct Answer is B
Explanation
Bulimia nervosa is an eating disorder characterized by recurrent episodes of binge eating followed by inappropriate compensatory behaviors such as self-induced vomiting, misuse of laxatives or diuretics, fasting, or excessive exercise. Binge eating refers to the consumption of an abnormally large amount of food within a short period, accompanied by a feeling of loss of control overeating. After bingeing, individuals with bulimia nervosa feel guilty, ashamed, and anxious about their behavior, and try to compensate by purging.
Options a, c, and d are incorrect as they do not accurately describe the characteristic features of bulimia nervosa.
Avoiding social gatherings and family meals is a characteristic of social anxiety disorder, not bulimia nervosa. Restricting caloric intake all the time is a characteristic of anorexia nervosa, a different type of eating disorder. Following a strict diet and exercise program is not necessarily a characteristic of bulimia nervosa, although some individuals with bulimia nervosa may engage in excessive exercise as a compensatory behavior.
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