A practical nurse (PN) is providing care to a client who recently received a terminal illness diagnosis. Which question by the PN is the highest priority when assessing anticipatory grief?
"Have you experienced anxiety or anger?"
"Have you been able perform daily activities?"
"Have you had suicidal thoughts?"
"Have you joined any support groups?"
The Correct Answer is C
A. "Have you experienced anxiety or anger?": Feelings of anxiety and anger are common in anticipatory grief, but while important, they do not represent the most urgent safety concern compared to assessing for suicidal ideation.
B. "Have you been able to perform daily activities?": Evaluating functional status is important but is not the highest priority when first assessing a client’s emotional and psychological response to a terminal diagnosis.
C. "Have you had suicidal thoughts?": Assessing for suicidal ideation is the highest priority because clients facing a terminal illness may experience overwhelming despair. Ensuring the client’s immediate safety must come before addressing emotional support or coping mechanisms.
D. "Have you joined any support groups?": Participation in support groups is helpful for emotional healing, but determining the client's current mental health status and safety must be addressed before exploring support resources.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"C"},"B":{"answers":"B"},"C":{"answers":"D"},"D":{"answers":"A"}}
Explanation
SBAR Format:
Situation:
I am holding the digoxin because the client's heart rate is too low.
Background:
The client is a 59-year-old male with hypertension and heart failure. He is currently taking furosemide and digoxin.
Assessment:
Heart rate is 48 beats/minute, blood pressure is 109/76 mm Hg.
Recommendation:
Do you want to recheck the digoxin level to see if there is toxicity? I will monitor the client's heart rate, blood pressure, and perfusion with a continuous monitor until his heart rate returns to normal.
Correct Answer is ["B","F","G","H"]
Explanation
Vital signs are to be taken every 4 hours, as per the physician's orders. The correct times based on the 4-hour interval are:
H. 0800 (Initial time)
B. 1200 (4 hours after 0800)
F. 1600 (4 hours after 1200)
G. 2000 (4 hours after 1600)
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