A nurse is caring for a client who asks the nurse, "May I please have your home address so that I can send you a note after I get home?" Which of the following responses should the nurse give?
"Sure, I will write it down for you."
"I know you are looking forward to being at home again and having a normal routine."
"Thank you for your kind words. Unfortunately, I am not allowed to share my home address by policy of the hospital."
"Absolutely not! We are not allowed to give out our personal information!
The Correct Answer is C
C. This response politely declines the client's request while explaining the reason behind it, which is hospital policy. It maintains professionalism and boundaries.
A nurses should not provide their home address to clients, as it can compromise their privacy and potentially lead to boundary violations or safety concerns.
B. It is important for the nurse to respond to the client's request for personal information in a professional and appropriate manner.
D. It is important for nurses to communicate boundaries firmly but respectfully, without causing unnecessary distress to the client.
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Related Questions
Correct Answer is C
Explanation
Delusions, hallucinations, and alterations in speech are characteristic symptoms of psychosis, which can occur in various psychiatric disorders such as schizophrenia. Dopamine antagonists, also known as antipsychotic medications, are the primary pharmacological treatment for psychosis.
A Mood stabilizers are primarily used to manage mood swings in conditions like bipolar disorder. While they can help stabilize mood, they are not typically the first-line treatment for psychotic symptoms like delusions and hallucinations.
B. SSRIs are antidepressant medications that primarily target serotonin levels in the brain. They are used to treat conditions such as depression, anxiety, and some other mood disorders.
D. Benzodiazepines are a class of medications primarily used to treat anxiety, insomnia, and seizures.
Correct Answer is D
Explanation
D. The client's symptoms, including paranoia, perceptual disturbances (such as seeing things that aren't there), erratic behavior, and disorientation, are consistent with the effects of hallucinogens. Hallucinogens are a class of drugs that alter perception, mood, and cognitive processes.
A. Anabolic steroids are synthetic variations of the male sex hormone testosterone. They are primarily used to promote muscle growth and enhance athletic performance.
B Opioids are a class of drugs that include prescription pain relievers, such as oxycodone and morphine, as well as illegal drugs like heroin.
C. Stimulants, such as cocaine and amphetamines, can cause symptoms such as paranoia, agitation, and hallucinations, particularly at high doses or with chronic use. However, the client's symptoms of darting eyes, paranoia, yelling, mumbling, and gesturing are more suggestive of hallucinogen use rather than stimulant use.
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