A nurse is caring for a client following an involuntary admission to an acute mental health facility. The client states, "I'm afraid they will give me drugs that put me to sleep." Which of the following statements should the nurse make?
"I will make sure that we respect your right to refuse medications."
"You will need to rest so that you can recover from the episode that brought you here."
"Why do you think your provider will prescribe you medications that will make you sleep?"
"It's not your choice to be here, so you have to accept the treatment we plan for you."
The Correct Answer is A
A. "I will make sure that we respect your right to refuse medications." – This response respects the client's autonomy and reassures them that their rights will be upheld.
B. "You will need to rest so that you can recover from the episode that brought you here." – This statement dismisses the client's concerns rather than addressing them.
C. "Why do you think your provider will prescribe you medications that will make you sleep?" – While open-ended questions can encourage discussion, this does not directly reassure the client about their rights.
D. "It's not your choice to be here, so you have to accept the treatment we plan for you." – This statement is inappropriate and disregards the client's legal rights.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Symptoms of Lyme disease appear 2 days after being bitten by an infected tick." – Incorrect. Symptoms of Lyme disease typically develop 3 to 30 days after a tick bite, not within 2 days.
B. "If bitten by a tick, testing for Lyme disease should occur within 2 weeks." – Incorrect. Testing immediately or within two weeks may yield a false-negative result because antibodies take time to develop. The CDC recommends waiting 4 to 6 weeks for accurate testing.
C. "Use a product with DEET on your skin and clothes when you are walking in a wooded area." – Correct. DEET is an effective tick repellent and should be applied to exposed skin and clothing to reduce the risk of tick bites, which can transmit Lyme disease.
D. "Remove embedded ticks by squeezing the body with tweezers." – Incorrect. The proper method for tick removal is to grasp it close to the skin with fine-tipped tweezers and pull straight out. Squeezing the tick’s body can cause it to release infectious fluids into the bite site, increasing the risk of disease transmission.
Correct Answer is D
Explanation
A. Empty the collection chamber every 8 hr – Incorrect. The collection chamber is not emptied; instead, it is replaced when full to prevent air re-entry.
B. Check the patency of the tubing every 2 hr – While monitoring the tubing is essential, checking patency is not the most specific nursing priority.
C. Keep the drainage system above the level of the client's chest – Incorrect. The system should remain below chest level to prevent backflow of drainage.
D. Ensure 2 cm (0.8 in) of water is in the water seal chamber – Correct. The water seal chamber maintains negative pressure and prevents air from entering the pleural space, making this a crucial step in chest tube management.
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