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
The nurse’s first action when a fire is discovered in a client’s room is to evacuate any clients or visitors in immediate danger12.
This is because the safety of the clients and visitors is the top priority.
Choice A is not the correct answer because activating the fire alarm is not the first action that should be taken.
Choice B is not the correct answer because confining the fire by closing all doors and windows is not the first action that should be taken.
Choice C is not the correct answer because notifying the supervisor is not the first action that should be taken.
Correct Answer is ["B","C","E"]
Explanation
Echinacea is known to enhance immunity.
It has been shown to increase the number of white blood cells, which are part of the body’s immune system and help fight off infections.
Ginseng has been shown to increase physical endurance.
Studies have found that it can reduce fatigue and improve physical performance . Aloe vera has been found to promote wound healing.
It contains compounds that can reduce inflammation and improve antioxidant defenses, which can help accelerate the healing process .
Choice A is not correct because there is no evidence that Gingko Biloba causes fibrin clot formation.
Fibrin is a protein that helps in the clotting of blood, but there is no evidence to suggest that Gingko Biloba has any effect on this process.
Choice D is not correct because there is no evidence that Chamomile enhances the immune response to influenza A.
While Chamomile has been found to have some anti-inflammatory and calming effects, there is no evidence to suggest that it can enhance the immune response to influenza A specifically.
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