A client is brought to the emergency department after being in a house fire. After determining the client is stable physically, what is the first phase of crisis intervention?
1. Assess the impact this experience has had on the client
2. Confront the reality of the crisis
3. Reassure client and family
4. Teach coping skills to client
1
Rationale: Assessment is the first step to evaluate the condition of a client. The client's need to be reassured, to engage with the reality of the crisis, or readiness to receive instruction, cannot be determined without a thorough assessment.
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An HIV-positive patient is diagnosed with Kaposi sarcoma (KS). The patient asks why highly active antiretroviral therapy (HAART) is being prescribed for him. Which response by the nurse is most accurate?
a. HAART will help stop the progression of your skin lesions. b. HAART will prevent you from getting AIDS. c. HAART will treat any current opportunis-tic infections you have. d. HAART will eliminate your HIV.
A care-providing agency has appointed a nurse to provide home care to an elderly client. What should the nurse do to ensure that the agency is reimbursed the expenditure for providing care?
A) Understand the client's rights when receiving care. B) Get along well with the client's family members. C) Fill out all necessary documents and submit them to the agency. D) Document all teachings and procedures for home care.
When a patient denies any problems related to addiction, the nurse's most therapeutic response is:
a. "What do you call this hospitalization?" b. "How can anybody help you if you don't see a problem?" c. "Would your family agree that you have no problems?" d. "Can you think of any time your behavior created an unpleasant situation in your life?"
The paramedics bring a patient who has suffered a sexual assault to the ED. What is important for the sexual assault nurse examiner to do when assessing a sexual assault victim?
A) Respect the patient's privacy during assessment. B) Shave all pubic hair for laboratory analysis. C) Place items for evidence in plastic bags. D) Bathe the patient before the examination.