Which of the following actions should the nurse take for a client who lost all possessions in a house fire and states, "I have no idea what I am going to do. I cannot think right now."?
Notify the facility chaplain to request scheduling an appointment.
Confirm that everything will be all right because belongings can be replaced.
Identify other housing options and sources of transportation.
Maintain eye contact with the client and summarize the client's feelings.
The Correct Answer is D
Choice A reason:
Notifying the facility chaplain to request scheduling an appointment may be helpful for some clients, but it assumes the client's willingness or desire for spiritual support. It should not be the first action taken without assessing the client's preferences and needs.
Choice B reason:
Confirming that everything will be all right because belongings can be replaced may seem reassuring, but it can also come across as dismissive of the client's emotional distress. Material possessions often have sentimental value, and their loss can be deeply traumatic beyond their monetary worth.
Choice C reason:
Identifying other housing options and sources of transportation is a practical step and may eventually be part of the care plan. However, it should not be the immediate focus when the client is in acute emotional distress and unable to think clearly.
Choice D reason:
Maintaining eye contact with the client and summarizing the client's feelings is an empathetic approach that validates the client's experience. It demonstrates active listening and provides emotional support, which is crucial in the immediate aftermath of a traumatic event.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Marital skew refers to a situation where one partner in a marriage dominates the relationship, leading to an imbalance of power. This concept is not directly related to Bowen's theory of functional family interaction patterns. Instead, it is more associated with family dynamics that can lead to dysfunction rather than functionality.
Choice B Reason:
Sibling position is a concept within Bowen's family systems theory that suggests the order in which children are born in a family can influence their roles and behaviors within the family system. Bowen believed that understanding sibling positions can help in predicting certain family dynamics and interactions. For example, first-born children might take on more leadership roles, while later-born children might be more rebellious or independent. Recognizing these patterns can help in understanding and improving family interactions.
Choice C Reason:
Double-bind communication refers to a situation where a person receives two or more conflicting messages, with one message negating the other. This can create confusion and stress, as the person cannot resolve the contradiction. While this concept is important in understanding dysfunctional communication patterns, it is not a concept of functional family interaction in Bowen's theory.
Choice D Reason:
Pseudomutuality is a term used to describe a family dynamic where there is a false appearance of harmony and mutual understanding. This facade hides underlying conflicts and issues that are not addressed. Pseudomutuality is indicative of dysfunction rather than a functional family interaction pattern according to Bowen's theory.
Correct Answer is A
Explanation
Choice A reason:
Primary prevention in community mental health is focused on reducing the incidence of mental disorders within the population. This proactive approach involves strategies and interventions designed to prevent the onset of mental health issues before they manifest. It includes enhancing individual resilience, fostering a supportive environment, and promoting mental well-being to lower the incidence and impact of mental health problems.
Choice B reason:
Services aimed at reducing the residual defects associated with severe and persistent mental illness fall under tertiary prevention. Tertiary prevention focuses on reducing the negative impact of an already established disease by restoring function and reducing disease-related complications.
Choice C reason:
Early identification of problems and prompt initiation of effective treatment are aspects of secondary prevention. Secondary prevention aims to reduce the impact of a disease that has already occurred, through early detection and appropriate treatment to halt or slow its progression.
Choice D reason:
Interventions aimed at minimizing early symptoms of psychiatric illness and directed toward reducing the prevalence and duration of the illness can be considered part of both secondary and tertiary prevention. These interventions work to alleviate the effects of an existing condition and prevent it from becoming more severe or prolonged.
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