A score of 1 to 10 on the Global Assessment Functioning (GAF) scale would indicate that a client was at risk for:
Hurting himself or others.
Serious impairment in social and occupational functioning.
Mild difficulty in focusing.
Mild difficulty in handling social situations.
Correct Answer : A,B
The correct answer is Choice A and B.
A score of 1 to 10 on the Global Assessment Functioning (GAF) scale indicates that a client is in persistent danger of severely hurting self or others or has a persistent inability to maintain minimal personal hygiene.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is Choice C.
A ‘favorable’ range of functioning on the Global Assessment of Function scale is 91 to 10010. This range indicates superior functioning in a wide range of activities.
Correct Answer is D
Explanation
Choice A rationale
While making a verbal contract not to harm oneself can be a part of suicide prevention strategies, it is not the immediate responsibility in this scenario. The client’s erratic behavior and expressions of despair indicate a high level of distress and potential risk for self-harm.
Choice B rationale
Returning the client to the waiting room with the spouse does not ensure the client’s safety. The spouse may not be equipped to manage the client’s current emotional state, and the busy environment of the waiting room may exacerbate the client’s distress.
Choice C rationale
Documenting that the client is not currently suicidal is not appropriate in this situation. The client’s non-verbal cues (shrugging their shoulders when asked about suicidal thoughts) may indicate ambivalence or uncertainty about their intent to harm themselves.
Choice D rationale
Placing the client in an inside hallway with one-on-one observation is the most appropriate action. This ensures the client’s safety, allows for continuous monitoring of the client’s condition, and provides an opportunity for further assessment and intervention.
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