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A nurse is caring for a client who expresses conflicted feelings about undergoing a tubal ligation. Which of the following responses should the nurse make?

A.

"Maybe you should wait to have the procedure."

B.

"This is a common feeling for clients to have before the procedure."

C.

Share more with me about your concerns related to the procedure."

D.

"Why are you concerned about the procedure?"

Answer and Explanation

The Correct Answer is C

A. "Maybe you should wait to have the procedure."

This response may come across as directive and could potentially influence the client's decision. It does not encourage the client to express their feelings or concerns but suggests a specific course of action. 

B. "This is a common feeling for clients to have before the procedure."

While it's true that many clients may experience conflicted feelings before undergoing certain procedures, this response is somewhat dismissive. It does not invite the client to explore their specific concerns and may not address the individual nature of the client's feelings.

C. Share more with me about your concerns related to the procedure. 

This response encourages the client to express their concerns and provides an opportunity for the nurse to understand the specific issues causing the conflict. It demonstrates empathy and openness, fostering a therapeutic nurse-client relationship. By inviting the client to share more, the nurse can gain insight into the client's emotional and psychological concerns about the tubal ligation.

D. "Why are you concerned about the procedure?"

While this question is an attempt to understand the client's concerns, it may be perceived as too direct or confrontational. The wording might make the client feel defensive or pressured to justify their feelings. The more open-ended phrasing in option C is generally more conducive to therapeutic communication.


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Related Questions

Correct Answer is ["0.5"]

Explanation

To calculate the volume (mL) that the nurse should administer, you can use the following formula:

Volume (mL)=Dose (g)/Concentration (g/mL)

In this case:

  • Volume=0.175 g/375 mg/mL
  • First, convert the dose to grams:
  • 0.175g=175mg

Now calculate the volume:

  • Volume = 175mg/375 mg/mL
  • Volume=0.4667mL

Rounded to the nearest tenth, the nurse should administer approximately 0.5 mL of ampicillin/sulbactam for the 0.175 g IM dose.

Correct Answer is C

Explanation

A. Informed consent:

While informed consent may include information about the surgical procedure and potential risks, it typically does not address organ donation. Organ donation is usually a separate decision and may be documented in advance directives.

B. Do-not-resuscitate order:

A do-not-resuscitate (DNR) order specifies the client's wishes regarding resuscitation in the event of cardiac or respiratory arrest but does not contain information about organ donation.

C. Advance directives.

Advance directives are legal documents that outline a person's preferences for medical treatment in the event they become unable to communicate or make decisions for themselves. Within advance directives, individuals may express their wishes regarding organ donation. It's common for individuals to specify their desire to be an organ donor in these documents.

D. Provider's prescription:

A provider's prescription is a medical order for a specific treatment or medication. It does not typically contain information about organ donation, which is a personal decision made by the individual and documented in advance directives.

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