A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a classmate. Which of the following actions should the nurse take first?
Discuss the importance of confidentiality.
Identify prior coping skills.
Review community resources.
Initiate referrals.
The Correct Answer is B
A. Discussing the importance of confidentiality is important but should not be the first action.
Addressing immediate emotional needs and coping strategies takes precedence.
B. Identifying prior coping skills helps establish a foundation for managing the current crisis. It allows the nurse to build on existing strengths and provide support tailored to the adolescents'
individual needs.
C. Reviewing community resources is valuable but should come after addressing immediate emotional needs and identifying coping skills.
D. Initiating referrals may be necessary, but it should follow the identification of coping skills and immediate emotional support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Generalizing involves making broad statements that apply universally, without specific evidence or context. The client's statement, "My partner is always criticizing me," is a generalization because it suggests a pervasive pattern of behavior without specifying particular instances or situations.
B. Manipulating involves influencing or controlling others for personal gain. The client's statement does not demonstrate manipulation.
C. Distracting involves diverting attention away from the topic at hand. The client's statement is not an example of distraction.
D. Placating involves seeking to please others or avoid conflict by agreeing with them. The client's statement does not demonstrate placating behavior.
Correct Answer is C
Explanation
A. Allowing the client to create their own meal schedule may exacerbate disordered eating patterns and is not recommended in the treatment of bulimia nervosa.
B. Allowing the client's family to bring food may enable or reinforce disordered eating behaviors and is not recommended in the treatment of bulimia nervosa.
C. Monitoring the client's bathroom trips is important to prevent purging behaviors, such as self- induced vomiting, which are characteristic of bulimia nervosa.
D. Encouraging the client to exercise frequently may exacerbate unhealthy behaviors and is not recommended as a primary intervention for bulimia nervosa.
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