Author Question: A client is pacing the hall near the nurses' station, swearing loudly. An appropriate initial ... (Read 51 times)

rmenurse · **on:** Jul 19, 2018

A client is pacing the hall near the nurses' station, swearing loudly. An appropriate initial
intervention for the nurse would be to address the client by name and say

a. Please quiet down..
b. Hey, what's up?
c. You seem upset. Tell me about it..
d. You need to go to your room to get control of yourself..

Question 2

A child, aged 11 years, has to stay home from school to care for his siblings while his mother works
because the family cannot afford a babysitter.

The home is cluttered and dirty when the community
mental health nurse visits to investigate the child's school absences. When asked about his parents,
he reluctantly reveals that he thinks his father does not like him very much. The level of prevention
for work with this family will be
a. primary.
b. secondary.
c. tertiary.
d. prevention is not possible.

momolu · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

C
Intervention should begin with analysis of the client and the situation. With this response the nurse is
attempting to hear the client's feelings and concerns. This leads to the next step of planning an
intervention. Options A and D close off communication. Option B is not a concrete request for
information and could be misinterpreted.

Answer to Question 2

B
Secondary prevention involves intervention in abusive situations to minimize their disabling or
long-term effects. Community resources are mobilized to help find alternative ways to deal with
stress. Option A: Primary prevention refers to measures to prevent or reduce the occurrence of
abusive situations. Option C: Tertiary prevention refers to interventions aimed at reducing the
severity of mental illness or handicaps resulting from long-term, abusive trauma.