What priority assessment area has been noticed by a nurse while ...

[bb]

What priority assessment area has been noticed by a nurse while working with clients who are experiencing a significant degree of stress?
 
  1. The client's primary physical needs
  2. What else is happening in the client's life
  3. How the stress has influenced the client's activities of daily living
  4. Determining whether the client is thinking about harming self or others

Question 2

A client recently lost a child in a severe case of poisoning. The client tells the nurse, I don't want to make any new friends right now. This is an example of which of the following indica-tors of stress?
 
  1. Spiritual indicator
  2. Emotional indicator
  3. Intellectual indicator
  4. Sociocultural indicator

[kusterl]

Answer to Question 1

ANS: 4
A priority assessment is to determine if the person is suicidal or homicidal by asking directly. The priority assessment for the client who is experiencing a significant degree of stress is not the cli-ent's physical needs. The nurse should first determine if the client is a danger to self 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 self or others. Then the nurse can examine the degree of disruption in the person's life, such as in activities of daily living.

Answer to Question 2

ANS: 4
The client who recently experienced a loss and does not want to meet new people is an example of a sociocultural indicator of stress. Spiritual indicator is not an example of a spiritual indicator of stress. The client is not restless or verbalizing discontent with a higher being. Emotional indi-cator is not an example of an emotional indicator of stress. The client is not displaying anger or crying. Intellectual indicator is not an example of an intellectual indicator of stress.

[bb]

Excellent

[milbourne11]

Gracias!