A nurse is caring for a client who has limited hand movement. Which of the following actions should the nurse take to assist the client with feeding?
Initiate a liquid diet for the client.
Place the client in a lateral position.
Arrange the food groups clockwise on the client's plate.
Provide an adaptive feeding device for the client.
The Correct Answer is D
Adaptive feeding devices are specifically designed to assist individuals with limited hand movement in feeding themselves more independently. These devices can include utensils with larger handles, specialized grips, or devices that stabilize food items for easier manipulation. Providing such devices can enhance the client's ability to feed themselves and promote autonomy in their daily activities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Leaning away from the client throughout the interview can convey a lack of interest or engagement in the conversation. It may appear as though the nurse is disinterested or uncomfortable, which could negatively impact the client's perception of the interaction.
A. Sitting at a slight angle across from the client is generally considered appropriate and allows for a comfortable and natural interaction
C. Maintaining an upright posture demonstrates attentiveness and professionalism during the interview.
D. Maintaining eye contact throughout the interview is generally considered a positive nonverbal behavior as it shows attentiveness, respect, and interest in the client's concerns.
Correct Answer is D
Explanation
Given the traumatic nature of sexual assault and the potential for re-traumatization, the assessment of the genitalia and rectum should be conducted last. This allows the nurse to build rapport with the client, establish trust, and address any immediate concerns or needs before proceeding with a potentially distressing examination.
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