Free NCLEX RN Questions on Health Promotion and Maintenance Nursing Practice Question

A pregnant client, suspected of being physically abused by her husband, is brought to the emergency department by a neighbor after being found bleeding from her head. In evaluating the crisis situation, which questions should the nurse specifically ask to assess the client's perception of the precipitating event?

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Correct Answer: C,D,F

Rationale: In a crisis situation, the nurse's initial task is to assess the individual or family and the problem. Assessing the client's perception of the precipitating event will assist in clearly defining the problem, which will result in identifying a more effective solution. Examples of some questions that the nurse can ask to assess the client's perception of the precipitating event include the following: How does this situation affect your life? Describe how you are feeling right now. How do you see this event as affecting your future? Has anything particularly upsetting happened to you within the past few days or weeks? What was happening in your life before you started to feel this way? What leads you to seek help now? What would need to be done to resolve this situation? The other questions listed—Where do you go to worship? Who is available to help you? To whom do you talk with when you are upset?—assess situational supports, not the client's perception of the precipitating event.