While working with clients who are experiencing a significant degree of stress, the nurse knows that which one of the following is a priority assessment area?
a. The client's primary physical needs
b. What else is happening in the client's life
c. How the stress has influenced the client's activities of daily living
d. Whether the client is thinking about harming himself or others
D
A priority assessment is to determine if the client is suicidal or homicidal by asking directly.
The priority assessment area for the client who is experiencing a significant degree of stress is not the client's physical needs. The nurse should first determine if the client is a danger to himself or others.
After determining if the client is suicidal or homicidal, the nurse can begin the problem-solving process and assess what else is happening in the client's life.
The nurse should first determine if the client is a danger to himself or others. Then the nurse can examine the degree of disruption in the client's life, such as in activities of daily living.
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