A nurse is caring for a client who states, "My doctor was just here, but I still do not understand my diagnosis." The nurse contacts the provider to return to speak with the client.
Which of the following principles is the nurse demonstrating?

Advocacy.

Good manners.

Customer service.

Kindness.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

The nurse is demonstrating advocacy by contacting the provider to return and speak with the client when the client expresses a lack of understanding about their diagnosis. Advocacy involves promoting the client's best interests, ensuring they receive appropriate information and care, and facilitating communication between the client and the healthcare team to address their concerns and needs.

Choice B rationale:

Good manners, while important in nursing practice, do not capture the essence of the nurse's action in this scenario. The nurse's primary role is to advocate for the client's understanding and communication with the healthcare provider.

Choice C rationale:

Customer service is not the primary focus in this situation. While providing excellent customer service is important in healthcare, the nurse's primary responsibility is to ensure the client's understanding of their diagnosis and address any questions or concerns they may have.

Choice D rationale:

Kindness is a positive quality in nursing practice, but it does not fully encompass the nurse's role in this scenario. The nurse's primary responsibility is to advocate for the client's understanding and facilitate effective communication with the provider to address the client's concerns and questions.

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Correct Answer is ["B","C","D","E","F","G"]

Explanation

Choice A rationale:

Performing a vaginal examination every 12 hours is not necessary in this case. The client is not in labor and there are no indications of any complications that would require frequent vaginal examinations.

Choice B rationale:

The client’s symptoms of severe headache, +3 pitting edema in bilateral lower extremities, and a patellar reflex of 4+ without the presence of clonus are indicative of severe preeclampsia. Antihypertensive medications are often used to manage high blood pressure in preeclampsia.

Choice C rationale:

Betamethasone is a corticosteroid that is given to pregnant women who are at risk of delivering prematurely to help mature the baby’s lungs. Given that the client is at 31 weeks of gestation and has had a previous preterm birth, administering betamethasone would be appropriate.

Choice D rationale:

A low-stimulation environment can help reduce blood pressure and prevent seizures in clients with preeclampsia.

Choice E rationale:

Bed rest can help lower blood pressure and improve blood flow to the placenta, which can be beneficial for the baby.

Choice F rationale:

Monitoring intake and output every hour can help assess kidney function, which can be affected by preeclampsia.

Choice G rationale:

A 24-hour urine specimen can provide information about protein levels in the urine, which can indicate the severity of preeclampsia. It’s important to note that normal ranges for lab parameters can vary slightly depending on the lab, but generally, protein levels in a 24-hour urine specimen should be less than 300 mg. Pitting edema is usually graded on a scale of 1+ (mild) to 4+ (severe), and a patellar reflex of 4+ is considered hyperactive and may indicate nervous system hyperexcitability seen in severe preeclampsia or eclampsia.

A. Laissez-faire leadership style. B. Self-blame for financial problems. C. High self-esteem. D. Rigid expectations of behavior.

Correct Answer is D

Explanation

Choice A rationale:

A laissez-faire leadership style is characterized by a lack of involvement or control, and it is not typically associated with perpetrators of child abuse.

Choice B rationale:

Self-blame for financial problems may lead to stress but is not a characteristic finding of perpetrators of child abuse.

Choice C rationale:

High self-esteem is not typically associated with perpetrators of child abuse. In fact, abusers often have low self-esteem and exert power and control over others to compensate for it.

Choice D rationale:

Perpetrators of child abuse often have rigid expectations of behavior from their children and may employ authoritarian parenting styles. This characteristic can contribute to abusive behaviors.

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A nurse is caring for a client who states, "My doctor was just here, but I still do not understand my diagnosis." The nurse contacts the provider to return to speak with the client.Which of the following principles is the nurse demonstrating?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["B","C","D","E","F","G"]

Explanation

A nurse is discussing risk factors for child abuse with members of a parenting group.The nurse should identify which of the following findings as characteristic of perpetrators of child abuse?

Correct Answer is D

Explanation

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A nurse is caring for a client who states, "My doctor was just here, but I still do not understand my diagnosis." The nurse contacts the provider to return to speak with the client.
Which of the following principles is the nurse demonstrating?