During the initial interview with a client in crisis, the initial priority is to:
A) Assess the adequacy of the support system.
B) Assess for substance use.
C) Determine the precise level of functioning.
D) Evaluate the potential for self-harm.
Question 2
The nurse is planning to explain the purpose of the behavioral therapy technique of self-monitoring to a client with bulimia nervosa. The nurse should plan to explain that the client should keep a diary to record:
A) Feelings of hunger.
B) Efforts at distraction.
C) Environmental stimuli.
D) Rigid rules about eating.
Assess the nailbeds' configuration
Position of patient to assess jugular vein distention
A step stool can be used to assess the ability to use steps.
Intervention Model-Response to Client Misconduct
Positioning the client
Testing client’s ability to identify sharp sensations