A client with end-stage alcoholic cirrhosis of the liver is hesitant to talk about the illness and the impending loss of life from their alcohol use disorder. Which action by the nurse can promote the client's ability to express their feelings?
Ask the client if they are in denial regarding the seriousness of their illness.
Be an active listener and use silence to facilitate communication.
Refer the client to the chaplain for religious counseling.
Inform the client that since it is too late to change, acceptance is inevitable.
The Correct Answer is B
Using active listening techniques and providing a supportive and non-judgmental environment can promote the client's ability to express their feelings. Many clients facing end-stage illnesses, such as alcoholic cirrhosis, may experience a range of emotions and find it difficult to talk about their illness or impending loss of life. By being present, attentive, and using silence when appropriate, the nurse allows the client the space and time they need to process their thoughts and emotions and feel comfortable expressing their feelings when they are ready.
Incorrect:
Option A may come across as confrontational and judgmental, which can hinder the client's willingness to share their feelings.
Option C may be appropriate if the client requests spiritual or religious support, but it should not be assumed as the primary intervention for promoting emotional expression.
Option D can be seen as dismissive and insensitive to the client's emotional needs, and it may not be helpful in encouraging the client to open up about their feelings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
When a school nurse suspects that a child is being sexually abused, the priority action is to ensure the child's safety and well-being. Option D, accurately and thoroughly documenting the findings and reporting to the appropriate authorities, is the most critical step in protecting the child.
Child abuse, including sexual abuse, is a serious concern that requires immediate attention and intervention. In many jurisdictions, healthcare professionals, including school nurses, are mandated reporters, which means they are legally obligated to report suspected cases of child abuse to child protective services or other appropriate authorities.
Options A, B, and C are not appropriate as the child's safety is the top priority:
A. Discussing the findings with the parents and giving them the opportunity to explain could potentially place the child at further risk if the parents are involved in the abuse or are unwilling to address the situation.
B. Talking to the child and finding out if they are experiencing sexual abuse or inappropriate touching should not be the first step without involving child protective services or other appropriate authorities. The child may be frightened or reluctant to disclose abuse directly to the nurse, especially if the abuser is a family member or someone known to the child.
C. Talking with another co-worker to confirm the assessment may delay the necessary action and reporting to protect the child.
Correct Answer is ["2"]
Explanation
To calculate the amount of naloxone to administer, you can use the following formula:
Amount to administer (mL) = Total dose required (mg) / Concentration of drug (mg/mL)
Given:
Total dose required = 0.4 mg
Concentration of drug = 0.2 mg/mL
Let's calculate the amount to administer:
Amount to administer (mL) = 0.4 mg / 0.2 mg/mL
Now, perform the calculation:
Amount to administer (mL) = 2 mL
So, the nurse should administer 2 mL of naloxone intravenously as a bolus dose to the client.
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