A nurse in an urgent care center is caring for a young adult client who requires suturing of a laceration. The client tells the nurse, "My family should have been here by now. I can't go through this without them." Which of the following responses should the nurse make?
"I'm sure your family will be here soon."
"I will be available for you until your family arrives."
"Why do you think your family is delayed?"
"You'll feel better once this procedure is over."
The Correct Answer is B
A. "I'm sure your family will be here soon.": While this response tries to reassure the client, it does not address the client’s current feelings or provide immediate support. It might also come across as dismissive since the nurse cannot be sure when the family will arrive.
B. "I will be available for you until your family arrives.": This response acknowledges the client’s anxiety and offers support in the meantime. It shows the nurse’s availability and commitment to making the client feel safe and supported while waiting for their family.
C. "Why do you think your family is delayed?": This question might make the client feel pressured or defensive and focuses on the delay rather than offering reassurance or emotional support. It does not directly address the client’s emotional needs.
D. "You'll feel better once this procedure is over.": While this response aims to reassure the client, it might minimize their current feelings of anxiety. It focuses on the future rather than addressing the immediate emotional needs of the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Show the client a video about self-administration of insulin: Watching a video is a passive learning that primarily engages the cognitive domain. It provides information but does not allow the client to practice hands-on skills, which are needed for psychomotor learning.
B. Assist the client in discussing their feelings about having diabetes mellitus: Discussing feelings pertains to the affective domain, which focuses on emotions, attitudes, and values. It does not involve physical skills or actions, so it is not psychomotor learning.
C. Observe the client practice self-monitoring of blood glucose levels: Psychomotor learning involves acquiring skills through practice and demonstration. Observing the client perform self-monitoring of blood glucose levels allows the nurse to assess their ability to carry out the task and refine the skill through repetition.
D. Ask the client to attend a class about following a diabetic diet: Attending a class is more aligned with the cognitive domain, where the focus is on gaining knowledge. This action does not involve practicing physical skills necessary for psychomotor learning.
Correct Answer is A
Explanation
A. Occupational therapist: An occupational therapist specializes in helping clients with activities of daily living (ADLs), such as dressing, grooming, and bathing. An occupational therapist can assist in creating strategies or using adaptive equipment to help the client become more independent with dressing.
B. Respiratory therapist: A respiratory therapist focuses on managing respiratory issues and providing treatments like oxygen therapy or breathing exercises. This is not directly related to assisting with dressing, so they are not the appropriate team member for this issue.
C. Social worker: While a social worker can assist with psychosocial issues and discharge planning, they are not typically involved in helping with daily functional tasks like dressing. They would not be the primary provider for this need.
D. Physical therapist: A physical therapist focuses on improving movement, strength, and mobility, particularly related to walking and physical rehabilitation. While they may assist with mobility following surgery, they are not primarily focused on ADLs like dressing.
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