For days after being raped and battered, a client reports nightmares, decreased appetite, anxiety, and depression. The nurse who evaluates her at the crisis center should first assess what?

A) The degree of disruption the client is currently experiencing
B) The client's perception of the event
C) The client's present coping skills
D) The client's availability of support systems


Ans: B
In order to intervene, it is critical to assess the client's perception of the event. The nurse should explore the client's perceptions about what has happened to her, particularly after a significant traumatic event.

Nursing

You might also like to view...

Slow progressive degeneration of joint articular cartilage results in which condition?

a. bursitis c. osteoarthritis b. Lyme disease d. rheumatoid arthritis

Nursing

When critiquing a report of a qualitative research study, the nurse asks, "Is protection of human participants addressed?" This question is critiquing what section of the report?

a. Data analysis b. Data collection c. Statement of the phenomenon of interest d. Conclusions, implications, and recommendations

Nursing

A nurse is being questioned by the parents of a client whose physician ordered a battery of invasive tests. They are wondering why their child should have to go through all the pain and discomfort of these studies

The nurse is not familiar with the situation and has just come on duty for the evening shift. A limited report was given by the previous shift. The nurse understands that the child is stable at this time and has no pain, but the nurse has not been able to review the chart or do an initial assessment at this point. The best response by the nurse is: 1. "I'm not sure I can answer your question just now." 2. "It's a good idea to listen to what your physician wants." 3. "Your child's doctor is the best there is. I don't see why you wouldn't follow his advice." 4. "Maybe you should get another opinion if you're not comfortable with your doctor."

Nursing

If a patient says an area is "sore," it is safe to assume that she is not having pain.

Answer the following statement true (T) or false (F)

Nursing