RNSG 2213_Final Exam questions with correct answers

RNSG 2213_Final ExamA patient comes to the clinic with superficial cuts on the left wrist. The patient paces around the room sobbing but cringes when approached and responds to questions with only shrugs or monosyllables. Select the nurse's best initial statement to this patient. A. "Everything is going to be all right. You are here at the clinic, and the staff will keep you safe." B. "I see you are feeling upset. I am going to stay and talk with you to help you feel better." C. "You need to try to stop crying so we can talk about your problems." D. "Let's set some guidelines and goals for your visit here." B. "I see you are feeling upset. I am going to stay and talk with you to help you feel better." A crisis exists for this patient. The two primary thrusts of crisis intervention are to provide for the safety of the individual and use anxiety-reduction techniques to facilitate the use of inner resources. The nurse offers therapeutic presence, which provides caring, ongoing observation relative to the patient's safety. The incorrect responses use nontherapeutic techniques, including false reassurance and giving advice. An adult seeks counseling after the spouse is murdered. The adult angrily says, "I hate the monster that did this. It has ruined my life. During the trial, I don't know what I'll do if the jury doesn't return a guilty verdict." What is the nurse's highest priority question? A. "What do you mean when you say 'monster'?" B. "What resources do you need to help you cope with this situation?" C. "Do you have enough support from your family and friends?" D. "Are you having thoughts of hurting yourself or others?" D. "Are you having thoughts of hurting yourself or others?" The highest nursing priority is safety. The nurse should assess suicidal and homicidal potentials. The incorrect options may be important but not the highest priority.