A nurse is caring for a client who states, "I don't want to start dialysis treatments." Which of the following responses should the nurse make?

"I'm sorry to hear that, but I know the dialysis will make you feel better."

"What are your concerns about the dialysis treatments?"

"Do you think your doctor would have recommended dialysis if you didn't need it?"

"Most people do get tired of dialysis treatments after a while.”

Answer and Explanation

The Correct Answer is B

A. "I'm sorry to hear that, but I know the dialysis will make you feel better.": This response dismisses the client’s feelings and moves too quickly to reassurance without first exploring the client’s perspective. It can make the client feel unheard and pressured to accept the treatment.

B. "What are your concerns about the dialysis treatments?": This response encourages open communication by inviting the client to express their fears, concerns, or misunderstandings. It shows respect for the client's autonomy and fosters a therapeutic relationship built on trust and understanding.

C. "Do you think your doctor would have recommended dialysis if you didn't need it?": This shifts focus away from the client’s feelings and places undue emphasis on the authority of the provider. It may make the client feel invalidated or coerced rather than supported in making an informed decision.

D. "Most people do get tired of dialysis treatments after a while.": This statement reinforces negative feelings about dialysis and can increase the client’s anxiety or resistance toward the treatment rather than helping them work through their concerns in a constructive manner.

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Correct Answer is B

Explanation

A: Image A shows the ankle area, which is an example of a hinge joint, not a ball and socket joint. Hinge joints allow movement in one plane, such as flexion and extension, similar to the motion of a door hinge. The ankle allows primarily up-and-down movement but does not rotate in multiple directions like a ball and socket joint would.

B: Image B shows the hip area, which represents a ball and socket joint. In a ball and socket joint, the round head of one bone fits into the cup-like socket of another bone, allowing movement in multiple directions. The hip and the shoulder are classic examples of ball and socket joints, permitting rotation, flexion, extension, abduction, and adduction.

A. Place the client in a negative pressure room. B. Wear a gown and gloves during client interactions and care C. Wear a surgical mask during client interactions and care D. Place the client in a room with high-efficiency particulate air (HEPA) filtration for incoming air.

Correct Answer is B

Explanation

A. Place the client in a negative pressure room: Negative pressure rooms are used for airborne diseases like tuberculosis or measles, where pathogens are airborne. VRE is a contact-transmitted infection, not airborne, so a negative pressure room is not necessary.

B. Wear a gown and gloves during client interactions and care: VRE is spread through direct contact with contaminated surfaces or bodily fluids. Wearing a gown and gloves provides the necessary precautions to prevent the spread of the infection through contact transmission.

C. Wear a surgical mask during client interactions and care: A surgical mask is primarily used for droplet precautions (e.g., influenza), not for contact precautions like VRE. A mask is not necessary unless the client has a respiratory infection or if there is a risk of splashing bodily fluids.

D. Place the client in a room with high-efficiency particulate air (HEPA) filtration for incoming air: HEPA filtration is used for airborne infections such as tuberculosis. Since VRE is not an airborne pathogen, this measure is unnecessary for preventing the spread of VRE.

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A nurse is caring for a client who states, "I don't want to start dialysis treatments." Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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