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
Remaining attentive but silent is an appropriate response by the nurse.
This allows the client to express their feelings and concerns without interruption or judgment.
It also shows the client that the nurse is actively listening and interested in what they have to say.
Choice A is not an appropriate response because placing a client on a 72-hour hold should only be done if the client is a danger to themselves or others.
Choice C is not an appropriate response because leaving the room immediately would be unprofessional and could make the client feel abandoned.
Choice D is not an appropriate response because telling the client that everything will be fine may not be true and could give false hope.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Scheduling massages as well as taking prescribed medication for pain control is an example of complementary therapy.
Complementary therapy refers to the use of non-mainstream practices in conjunction with conventional medical treatment.
In this case, the client is using massage therapy, a complementary approach, along with their prescribed medication to manage their pain.
Choice A is not an appropriate response because pain therapy is a broad term that can refer to any approach used to manage pain.
Choice B is not an appropriate response because nociceptive pain control refers to the management of pain caused by tissue damage or inflammation.
Choice C is not an appropriate response because non-therapeutic communication refers to communication that does not promote healing or well-being.
Correct Answer is D
Explanation
A fractured hip in an elderly person can be a life-threatening injury due to the risk of complications such as blood clots, pneumonia, and infection.
It is important for the nurse to assess the man’s pain level, vital signs, and overall condition and initiate appropriate interventions as soon as possible.
Choice A) A client with acute diarrhea may require prompt attention to prevent dehydration, but it is not as urgent as a fractured hip.
Choice B) A client who is anxious may benefit from interventions to reduce anxiety, but it is not a life-threatening condition.
Choice C) A woman who feels isolated may benefit from social support and interventions to address her emotional needs, but it is not an urgent medical condition.
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