Practice Quiz

NCLEX-RN

Category - Psychosocial

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A 44-year-old male client was taken in by his relatives when his blood pressure increased after an emotional outburst. The relatives informed the doctor that the client’s wife left with their child after he lost his job. The nurse’s intervention at this time is to:
  1. Encourage expression of feelings.
  2. Identify the coping mechanisms of the client.
  3. Sort out the precipitating event.
  4. Maintain optimal circulatory function.
Explanation
Answer: D - At this time, the nurse should focus care on maintaining the client’s circulatory functions by monitoring the blood pressure and preventing another outburst of emotion which could precipitate another episode of hypertension. Expression of feelings and sorting out the precipitating event of the crisis can worsen the stressful situation. Treatment should be directed at supporting and addressing the immediate needs of the client.
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