A client arrives in the emergency department in a crisis state. The client demonstrates signs of profound anxiety and is unable to focus on anything but the object of the crisis and the impact on herself. The nurse plans to focus the initial assessment on which client factor?

A. Sources of support
B. The object of the crisis
C. The client's coping mechanisms
D. The physical condition of the client


Ans: D. The physical condition of the client

Nursing

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A nurse is working with many stroke clients. Which clients would the nurse consider referring to a mental health provider on discharge? (Select all that apply.)

a. Client who exhibits extreme emotional lability b. Client with an initial National Institutes of Health (NIH) Stroke Scale score of 38 c. Client with mild forgetfulness and a slight limp d. Client who has a past hospitalization for a suicide attempt e. Client who is unable to walk or eat 3 weeks post-stroke

Nursing

Which finding in an emergency department patient who reports being struck in the right eye with a fist is a priority for the nurse to communicate to the health care provider?

a. The patient complains of a right-sided headache. b. The sclera on the right eye has broken blood vessels. c. The area around the right eye is bruised and tender to the touch. d. The patient complains of "a curtain" over part of the visual field.

Nursing

Having concern for a person is:

a. Caring b. Empathy c. Enthusiasm d. Respect

Nursing

Which of the following classes of drugs was originally obtained from the plant leaves of Digitalis purpurea and Digitalis lanata?

A. Cardiac glycosides B. Diuretics C. Angiotensin-converting enzyme inhibitors D. Angiotensin receptor blockers

Nursing