A client states, *I don't know what to do. My life is a mess." What is an appropriate response by the nurse?
Place the client on a 72-hour hold immediately
Remain attentive, but silent
Leave the room immediately
Tell the client that everything will be fine
The Correct Answer is B
An appropriate response by the nurse to a client who states, "I don't know what to do. My life is a mess." would be to remain attentive and engage with the client in a therapeutic way. This type of statement by the client may indicate feelings of hopelessness, despair, or even suicidal ideation, so it's important for the nurse to respond in a supportive and empathetic manner.
Placing the client on a 72-hour hold immediately would not be an appropriate response unless the client presents an imminent danger to themselves or others. Similarly, leaving the room immediately or telling the client that everything will be fine would not address the client's concerns or provide appropriate support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A complication that may result from decreased mobility is pressure injuries (also known as pressure ulcers or bedsores). When a person remains in one position for extended periods of time, the pressure from their body weight can cause damage to the skin and underlying tissues, particularly in bony areas.
Diarrhea, euphoria, and increased energy are not typically associated with decreased mobility. Diarrhea may be caused by a variety of factors such as infections, food intolerances, or certain medications. Euphoria and increased energy may be associated with certain medical conditions or drug use, but are not directly related to decreased mobility.
Correct Answer is ["B","C","E"]
Explanation
Echinacea is commonly used to boost the immune system and prevent colds and other infections.Ginseng is a stimulant that is often used to improve physical performance and reduce fatigue. Aloe is a natural anti-inflammatory and antibacterial agent that is often used to promote healing of burns, cuts, and other skin injuries.
Ginkgo biloba does not cause fibrin clot formation, but rather has been shown to have an anticoagulant effect, meaning it can decrease the clotting ability of the blood. Chamomile is not known for enhancing the immune response to influenza A, but rather for its calming effects and its use as a sleep aid.
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