A nurse delegates a licensed practical nurse (LPN) to perform suicide precautions. Which of the following actions by the LPN indicates to the nurse that they require further education?
Remaining with the client while family members visit.
Asking the nurse at lunchtime to assign another LPN for this task until their return.
Ambulating the client's roommate while the client is on suicide precautions.
Accompanying the client to physical and occupational therapy.
The Correct Answer is C
Choice A reason: Remaining with the client while family members visit is appropriate for ensuring safety.
Choice B reason: Asking for assistance during lunch is appropriate to maintain continuous observation.
Choice C reason: The correct answer is c) because leaving the client alone to ambulate the roommate indicates that the LPN is not maintaining constant observation, which is crucial for suicide precautions.
Choice D reason: Accompanying the client to therapy ensures continuous observation and is appropriate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Referring the case to the ethics committee is not the immediate action required.
Choice B reason: The correct answer is b) because documenting the client's refusal ensures that it is noted in the medical record and appropriate follow-up actions can be taken.
Choice C reason: Administering the medication by another route without consent is not appropriate.
Choice D reason: Informing the client that she cannot refuse medication due to involuntary admission is not accurate; clients retain certain rights even when involuntarily admitted.
Correct Answer is B
Explanation
Choice A reason: Clients who are involuntarily admitted still retain the right to refuse certain treatments, including medications, unless court-ordered.
Choice B reason: The correct answer is b) because involuntary admission is typically justified when a client poses a danger to themselves or others.
Choice C reason: The duration of involuntary admissions varies by jurisdiction and is not universally limited to two weeks.
Choice D reason: Clients who are involuntarily admitted cannot leave against medical advice until they are deemed safe to do so.
A newly admitted client states to the nurse, "You walk and talk just like my sister. She also gives me a headache." Which of the following is the client experiencing?
a) Suppression
b) Transference
c) Countertransference
d) Assertiveness
The correct answer is: b) Transference.
Choice A reason: Suppression involves consciously trying to forget or avoid thoughts, not projecting feelings onto another person.
Choice B reason: The correct answer is b) because transference occurs when a client projects feelings and attitudes from a past relationship onto a person in the present, such as a nurse.
Choice C reason: Countertransference refers to the nurse's emotional response to the client, not the client's feelings towards the nurse.
Choice D reason: Assertiveness is a communication style and is not related to projecting past feelings onto others.
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