A client presents to the emergency department (ED reporting abdominal pain. The nurse observes the client's right cheek and eye are bruised and suspects possible domestic violence. Which approach is best for the nurse to use when interviewing the client?

Share personal values to put the client at ease.

Get the most difficult questions over with first.

Ask questions in a vague, non-specific format.

Begin with questions that are less sensitive in nature.

Answer and Explanation

The Correct Answer is D

A.   Share personal values to put the client at ease: Sharing personal values may not be appropriate and could potentially alienate the client or make them feel judged.
B.   Get the most difficult questions over with first: Starting with difficult questions may increase the client's defensiveness and resistance to sharing information.
C.   Ask questions in a vague, non-specific format: Being vague may not elicit the necessary information and could lead to misunderstandings or incomplete responses.
D.   Begin with questions that are less sensitive in nature: Starting with less sensitive questions helps build rapport and trust with the client before addressing more sensitive topics like domestic violence. It allows the client to feel more comfortable and may increase the likelihood of obtaining accurate information.

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Correct Answer is A

Explanation

A. Determine if the newborn is in the nursery: This action directly addresses the immediate concern of the missing newborn and ensures prompt verification of the infant's location.
B. Match ID bands of all infants and mothers on the unit: While important for ensuring proper
identification, this action may take longer to complete and should follow the immediate concern of locating the newborn.
C. Activate the lockdown procedure: This extreme measure should only be implemented if there is evidence of a security threat or if there is reason to believe that the newborn has been
abducted.
D. Ask the mother if any visitors were expected to arrive: While obtaining this information may be relevant for investigation purposes, it should not delay the immediate search for the newborn.

A. Move the client to a private room, keep the door closed, and initiate droplet precautions. B. Assist the client to recall everyone possibly exposed since onset of symptoms. C. Place the nasal swab specimen for COVID-19 directly into a biohazard bag. D. Teach the client to wear a mask, hand wash, and social distance to prevent spreading the virus.

Correct Answer is A

Explanation

A. Moving the client to a private room, keeping the door closed, and initiating droplet
precautions are important to prevent potential transmission of COVID-19, especially considering the client's symptoms and recent loss of taste and smell, which are associated with COVID-19.
B. Assisting the client to recall everyone possibly exposed since onset of symptoms is relevant for contact tracing but does not address immediate infection control measures for the suspected case.
C. Placing the nasal swab specimen for COVID-19 directly into a biohazard bag is a correct laboratory procedure but does not address immediate infection control measures for the
suspected case.
D. Teaching the client to wear a mask, hand wash, and social distance to prevent spreading the virus is important for preventing transmission, but in this scenario, immediate isolation
precautions are necessary until a COVID-19 diagnosis is confirmed or ruled out.

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A client presents to the emergency department (ED reporting abdominal pain. The nurse observes the client's right cheek and eye are bruised and suspects possible domestic violence. Which approach is best for the nurse to use when interviewing the client?

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Naxlex Comprehensive Predictor Exams

A new mother on the postpartum unit runs out of the room screaming that her newborn infant's crib is empty and the baby is missing. Which action should the nurse take first?

Correct Answer is A

Explanation

Two weeks after returning home from traveling, a client presents to the clinic with conjunctivitis and describes a recent loss in the ability to taste and smell. The nurse obtains a nasal swab to test for COVID-19. Which action is most important for the nurse to take?

Correct Answer is A

Explanation

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Two weeks after returning home from traveling, a client presents to the clinic with conjunctivitis and describes a recent loss in the ability to taste and smell. The nurse obtains a nasal swab to test for COVID-19. Which action is most important for the nurse to take?

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