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 C
Explanation
It is important for the nurse to understand the client’s cultural perspective and work with them to find a method that will help them adhere to their medication schedule.
This approach shows respect for the client’s cultural beliefs and values while also emphasizing the importance of taking their medications on time.
CHOICE A. Telling the client that they will die if they do not take their medications at a certain time is not an appropriate response as it may cause unnecessary fear and anxiety.
CHOICE B. Telling the client that it is their prerogative to follow the schedule or not does not emphasize the importance of adhering to the medication schedule.
CHOICE D. Simply providing the client with a schedule and a watch without discussing their cultural beliefs and values may not be effective in helping them adhere to their medication schedule.
Correct Answer is C
Explanation
The nurse’s priority action when an eight-year-old child is eating a hotdog and begins coughing is to promote coughing.
Coughing is the body’s natural way of trying to clear an obstruction from the airway.
Choice A is not the correct answer because beginning the Heimlich maneuver quickly is not the first action that should be taken.
Choice B is not the correct answer because telling the child to put his hands by his neck to signify that he is choking is not the first action that should be taken.
Choice D is not the correct answer because leaving the child alone to find a phone is not the first action that should be taken.
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