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 B
Explanation
To prevent poisoning of a child in the home, it is important to keep cleaning liquids and other potential poisons in a locked cabinet12.
This includes storing medicines, chemicals, and cleaners up high in a locked cupboard and in their original containers1.
Choice A is incorrect because it focuses on prescription medications and not on preventing the poisoning of a child in the home.
Choice C is incorrect because it focuses on taking medications correctly and not on preventing the poisoning of a child in the home.
Choice D is incorrect because storing medications in a visible and accessible place could increase the risk of poisoning if a child were to access them.
Correct Answer is A
Explanation
Take naps when drowsy.
Taking naps during the day can disrupt nighttime sleep and worsen insomnia.
It is generally not recommended for individuals with insomnia to take naps, even if they feel drowsy during the day.
Choice B is not an answer because regular exercise can improve sleep quality and is a recommended intervention for individuals with insomnia.
Choice C is not an answer because limiting fluids before bedtime can reduce the need to urinate during the night and improve sleep quality.
Choice D is not an answer because limiting alcohol consumption before bedtime can improve sleep quality and reduce the risk of sleep disruptions.
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