A young adult client is brought to the emergency department with a suspected drug overdose. Which information is most important for the nurse to obtain from the family?

Reason for the suicide attempt.

The drug that was ingested.

The time since drug ingestion.

Past history of depression.

Answer and Explanation

The Correct Answer is B

A) While understanding the reason for the suicide attempt can provide important context, it is not as critical in the immediate management of a suspected overdose as knowing the specifics of what was ingested.

B) Identifying the drug that was ingested is the most important information for the nurse to obtain. Knowing the specific substance allows for appropriate and timely treatment, including the administration of antidotes if applicable and understanding potential complications.

C) The time since drug ingestion is also relevant, as it can influence treatment decisions and urgency. However, without knowing the specific drug, it may be challenging to determine the best course of action.

D) A past history of depression is important for the overall understanding of the client's mental health, but it does not have immediate implications for managing an overdose. The priority is to address the acute medical situation first.

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Correct Answer is B

Explanation

A) While it is important for the family to communicate love and concern, this goal does not directly address the immediate medical needs of the adolescent. Focusing on emotional support is valuable, but it is secondary to the need for nutritional recovery.

B) The goal for the client to eat nutritious meals in the hospital cafeteria has the highest priority. Ensuring adequate nutrition is critical in the treatment of anorexia nervosa, as the client is at risk for severe physical complications due to malnutrition. This goal directly addresses the client’s immediate health needs and forms the foundation for further psychological recovery.

C) Verbalizing feelings of positive self-esteem is an important long-term goal in the treatment of anorexia nervosa; however, it cannot be effectively achieved without first addressing the client’s nutritional and physical health needs. Self-esteem often improves with physical recovery, so it should be a goal to work toward after establishing a solid nutritional foundation.

D) While regular family therapy sessions can be beneficial for the overall treatment plan, this goal does not take precedence over the need for the client to stabilize their physical health. Family involvement is important, but the immediate priority should be on the client's individual recovery and nutritional needs.

A. Allow the client time alone to sort out any feelings. B. Avoid discussing subjects that upset the client. C. Encourage activities that allow the client to exert control over the client's environment. D. Encourage the client to interact with persons who are recovering from depression.

Correct Answer is C

Explanation

A) Allowing the client time alone to sort out feelings may seem supportive, but isolation can be detrimental, especially for someone who has recently attempted suicide. Social withdrawal can exacerbate feelings of despair and hopelessness. Instead, encouraging engagement with others and structured activities is often more beneficial.

B) Avoiding discussions about subjects that upset the client can lead to avoidance coping and prevent the client from processing important emotions. While it’s important to be sensitive to triggers, avoiding difficult topics may hinder therapeutic progress. Open dialogue is essential for healing and understanding.

C) Encouraging activities that allow the client to exert control over their environment is an effective intervention. This approach helps rebuild a sense of agency and empowerment, which is crucial for clients who may feel helpless after experiencing significant losses. Engaging in structured activities can foster a sense of accomplishment and stability, which can be particularly beneficial for someone recovering from a suicide attempt.

D) Encouraging the client to interact with persons who are recovering from depression can provide valuable support and understanding; however, this may not be the most immediate intervention. The client may still be in a fragile state, and facilitating control through structured activities might be a more effective way to build confidence and a sense of community before introducing peer interactions.

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A young adult client is brought to the emergency department with a suspected drug overdose. Which information is most important for the nurse to obtain from the family?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which goal has the highest priority for an adolescent client who is hospitalized for weight loss related to anorexia nervosa?

Correct Answer is B

Explanation

Correct Answer is C

Explanation

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