A nurse is planning to use the nursing process to care for a client who is experiencing grief.
Which of the following actions should the nurse take first?
Establish whether the client's grieving is healthy or complicated.
Develop client-specific goals and outcomes.
Incorporate the treatment into the client's care.
Determine whether coping strategies were successful.
The Correct Answer is A
Choice A rationale:
Establishing whether the client's grieving is healthy or complicated is the first step in the nursing process when caring for a client experiencing grief. This step falls under the assessment phase of the nursing process and is essential for understanding the client's needs and planning appropriate care.
Choice B rationale:
Developing client-specific goals and outcomes comes after the assessment phase in the planning stage of the nursing process. While important, it is not the first action the nurse should take in this situation.
Choice C rationale:
Incorporating the treatment into the client's care occurs during the implementation phase of the nursing process and follows assessment and planning. This is not the first action.
Choice D rationale:
Determining whether coping strategies were successful is part of the evaluation phase of the nursing process, which occurs after the implementation of care. It is not the first step in this situation. Now, let's proceed to the final question.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale;
Inability to form healthy relationships: This is more commonly associated with fixation at the phallic stage.
Choice B rationale:
Feelings of shame are associated with Freud's psychosexual stages, particularly during the anal stage. Fixation at the oral stage is more likely to result in issues related to dependency and oral fixation, which may manifest as habits like nail-biting or smoking, rather than feelings of shame.
Choice C rationale:
According to Freud's psychosexual theory, fixation at the oral stage can lead to oral personality traits. These traits are often associated with oral activities like eating, drinking, smoking, and talking. Overeating is a common behavior linked to oral fixation, as it represents a seeking of oral gratification.
Choice D rationale:
Bedwetting is not typically associated with fixation at the oral stage of development. Bedwetting is more commonly linked to issues at the anal stage. In the oral stage, the fixation is primarily related to dependency and oral behaviors. .
Correct Answer is A
Explanation
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