Question

A nurse is caring for a patient who has just undergone a major life-changing event. The patient exhibits signs of near complete detachment from her surroundings and appears disoriented. She expresses thoughts and feelings of being completely overwhelmed by her current situation. When caring for a patient in a crisis such as this, which of the following is the *first* priority of the nurse?

Accepted Answer

Assess the patient for the potential for harm (to self and others) and take appropriate safety precautions.

Answer

Assess the patient’s current access to, and functioning of, her support systems and teach appropriate coping mechanisms.

Answer

Identify all of the information contributing to the current crisis situation and help the patient identify and discuss all of the emotions that are present.

Answer

Provide the appropriate physical and emotional support this patient needs to return to pre-crisis levels of functioning.

Question 8 - Psychosocial Integrity Practice Test for the NCLEX-RN Exam