A nurse is caring for a client who has a new diagnosis of diabetes mellitus and is refusing to learn how to self-administer insulin. Which of the following responses should the nurse make?

“I’d like to hear your thoughts about giving yourself this medication.”

"You will suffer serious health issues if you don't take your medication."

"Why don't you want to learn how to give yourself your medication?"

“Have you considered how your decision to refuse medication will affect your family?"

Answer and Explanation

The Correct Answer is A

A. “I’d like to hear your thoughts about giving yourself this medication.”: This response uses open-ended, therapeutic communication that invites the client to express concerns, fears, or misconceptions. It demonstrates respect for autonomy and helps build trust while allowing the nurse to assess readiness to learn. Understanding the client’s perspective is essential before providing education or problem-solving.

B. “You will suffer serious health issues if you don't take your medication.”: This response uses fear and threats, which can increase anxiety and resistance rather than promote cooperation. It does not encourage dialogue or address the client’s underlying concerns.

C. “Why don't you want to learn how to give yourself your medication?”: Questions beginning with “why” can feel accusatory or judgmental, causing the client to become defensive. Although the nurse needs to understand the client’s reluctance, this phrasing may inhibit open communication. A more neutral approach is preferred.

D. “Have you considered how your decision to refuse medication will affect your family?”: This response applies guilt and shifts the focus away from the client’s feelings and autonomy. It does not promote therapeutic communication or support informed decision-making. Using guilt can undermine trust and collaboration.

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Correct Answer is C

Explanation

A. Gross motor skills: Rolling from abdomen to back, playing with feet, smiling responsively, and turning toward sounds are expected developmental milestones at 6 months of age. These findings indicate appropriate gross motor, social, and sensory development.

B. Temperature: A temperature of 37.4° C (99.3° F) is within the normal range for an infant. This finding does not suggest infection or illness and does not require provider notification.

C. Weight: At 6 months of age, an infant is expected to have approximately doubled their birth weight. This infant weighed 3.6 kg at birth and currently weighs 5.9 kg, which suggests inadequate weight gain and should be reported for further evaluation.

D. Feeding habits: Breastfeeding combined with small amounts of cereal and fruit three times daily is appropriate for a 6-month-old infant. There is no indication from the feeding history alone that intake is inappropriate.

A. Room number of the client B. Name of the client's provider C. Client’s full medical diagnosis D. Client's telephone number

Correct Answer is D

Explanation

A. Room number of the client: Room numbers can change frequently and do not uniquely identify a client. Relying on room number alone increases the risk of medication errors and is not considered a safe identifier.

B. Name of the client's provider: The provider’s name does not verify the client’s identity and cannot be used to ensure medications are given to the correct individual. It may be relevant for contacting regarding prescriptions but not for client identification.

C. Client’s full medical diagnosis: The diagnosis provides clinical context but is not unique to the client and cannot confirm identity. Multiple clients may share the same diagnosis, so it is insufficient for safe medication administration.

D. Client's telephone number: Using personal identifiers such as telephone number, along with at least one other identifier (e.g., full name, date of birth, or medical record number), helps accurately verify the client’s identity. This reduces the risk of medication errors and ensures safe administration.

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A nurse is caring for a client who has a new diagnosis of diabetes mellitus and is refusing to learn how to self-administer insulin. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits A nurse is collecting data from a 6-month-old infant during a well-child visit. Which of the following findings should the nurse report to the provider? (Click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data)

Correct Answer is C

Explanation

A nurse in an acute care setting is preparing to administer medications to a client. Which of the following information should the nurse obtain to identify the client?

Correct Answer is D

Explanation

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