A nurse is initiating care for a client who is experiencing an acute situational crisis. Arrange the following nursing actions in the correct chronological order of priority, from first to last.
- 1Assess the client for lethality and ensure immediate safety.
- 2Establish rapport and build a therapeutic relationship.
- 3Identify the specific precipitating event that caused the crisis.
- 4Develop an action plan with the client to restore functioning.
Answer
The correct sequence is to first assess for lethality, then establish rapport, next identify the precipitating event, and finally develop an action plan.
In crisis intervention, the nurse must follow a structured approach. The highest priority is always ensuring the safety of the client and others by assessing lethality. Once immediate safety is established, the nurse rapidly builds a therapeutic relationship. With rapport established, the nurse can effectively and safely assess the precipitating event. Finally, the nurse and client collaborate to develop an action plan to restore pre-crisis functioning.
Step-by-Step Solution
Key Concept
Crisis Intervention Prioritization
Estimated Time:45s