A nurse in a community health center is consulting with a client who lost her home in a fire a few days ago. Which of the following responses should the nurse make?

"Let's focus on something positive and not discuss the fire today."

"I think you should move in with your parents temporarily."

"I don't believe that you will experience long-term effects from this."

"Tell me how I can best help you right now."

Answer and Explanation

The Correct Answer is D

A. "Let's focus on something positive and not discuss the fire today." This response is dismissive and invalidates the client's feelings and experiences.
B. "I think you should move in with your parents temporarily." This response is prescriptive and assumes that the nurse knows what is best for the client without understanding her specific needs and circumstances.
C. "I don't believe that you will experience long-term effects from this." This response minimizes the client's potential trauma and does not acknowledge the serious impact such an event can have.
D. "Tell me how I can best help you right now." This response is empathetic and client-centered, allowing the client to express her needs and feel supported.

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Correct Answer is D

Explanation

A. Situation This component includes the immediate issue or reason for the report.
B. Recommendation This includes what the nurse suggests or recommends should happen next.
C. Introduction This includes the nurse's name, role, and patient details.
D. Assessment This includes the nurse's findings, including lung sounds, vital signs, and other assessment data.

A. Ask the client's son to explain the preoperative interventions. B. Inform the provider about the situation with the client. C. Reinforce the benefits of the surgery to the client. D. Request another client who speaks the same language to act as an interpreter.

Correct Answer is B

Explanation

A. Ask the client's son to explain the preoperative interventions. This is not appropriate as it may lead to miscommunication and is not in line with professional standards for interpretation.
B. Inform the provider about the situation with the client. This is correct. The provider should be informed to address the client's refusal of preoperative care appropriately.
C. Reinforce the benefits of the surgery to the client. Reinforcing the benefits does not address the communication barrier and the client's immediate refusal.
D. Request another client who speaks the same language to act as an interpreter. This is inappropriate and breaches confidentiality. Professional interpreters should be used.

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A nurse in a community health center is consulting with a client who lost her home in a fire a few days ago. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is using the I-SBAR tool to provide report on a client to an oncoming nurse. In which of the following components of I-SBAR should the nurse include the client's lung sounds?

Correct Answer is D

Explanation

A nurse is preparing to perform preoperative care for a client who does not speak the same language as the nurse. The client has signed the informed consent form, but is refusing preoperative care. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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