A nurse is caring for a client who is experiencing a situational crisis.
Which of the following actions should the nurse take first?.

Reinforce teaching on the client's use of coping skills

Encourage the client to use personal support systems.

Assist with a client referral for social services.

Identify if the client has thoughts of self-harm.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Reinforcing teaching on the client’s use of coping skills is important, but it’s not the first action the nurse should take. The nurse must first ensure the client’s safety.

Choice B rationale:

Encouraging the client to use personal support systems is beneficial, but it’s not the first action. Safety is the priority.

Choice C rationale:

Assisting with a client referral for social services can be helpful, but it’s not the first action. The nurse must first assess for immediate safety risks.

Choice D rationale:

Identifying if the client has thoughts of self-harm is the first action the nurse should take. In a crisis situation, the client’s safety is the priority.

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Correct Answer is D

Explanation

Choice A rationale:

This statement is generalizing the client’s feelings, which can lead to a lack of individualized care.

Choice B rationale:

This statement is not acknowledging the client’s feelings of grief, which can lead to a lack of trust in the nurse-client relationship.

Choice C rationale:

This statement is self-disclosing personal information, which can lead to boundary violations in the nurse-client relationship.

Choice D rationale:

This statement is encouraging the client to express their feelings, which can help in the grieving process.

A. Phenobarbital B. Diazepam. C. Buprenorphine. D. Chlordiazepoxide.

Correct Answer is C

Explanation

Choice A rationale:

Phenobarbital is a barbiturate, not typically used in the treatment of opioid use disorder.

Choice B rationale:

Diazepam is a benzodiazepine, not typically used in the treatment of opioid use disorder.

Choice C rationale:

Buprenorphine is a medication approved for the treatment of opioid use disorder. It helps to reduce cravings and withdrawal symptoms.

Choice D rationale:

Chlordiazepoxide is a benzodiazepine, not typically used in the treatment of opioid use disorder.

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A nurse is caring for a client who is experiencing a situational crisis. Which of the following actions should the nurse take first?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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A nurse is caring for a client who is experiencing a situational crisis.
Which of the following actions should the nurse take first?.