A nurse is caring for a client who was admitted for suspected abuse.
The client is quiet and withdrawn.
Which of the following actions should the nurse take to promote client communication?
Invite a family member to be present for the nursing history.
Be direct and honest when speaking with the client.
Probe the client to offer a factual account of the abuse.
Provide basic wound care for obvious physical injuries.
The Correct Answer is B
Choice A rationale
Having family members present during communication can inhibit openness, as clients might fear judgment or repercussions from family disclosure about sensitive issues.
Choice B rationale
Direct and honest communication fosters trust and encourages abused clients to open up, improving engagement in care and emotional expression without feeling coerced.
Choice C rationale
Probing for factual accounts may seem invasive and can deter communication, increasing stress levels for withdrawn clients who are hesitant to share details.
Choice D rationale
Providing basic wound care addresses physical needs but fails to promote emotional communication, which is critical in cases of suspected abuse. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Feedback at the beginning only assesses baseline knowledge and expectations, missing ongoing input critical for tailoring educational efforts effectively. It does not address comprehension or engagement during or after the program.
Choice B rationale
Feedback at the midpoint provides a partial assessment but misses the opportunity for real-time adjustments or comprehensive understanding of participant needs and program effectiveness.
Choice C rationale
Gathering feedback throughout ensures a dynamic and responsive educational process, addressing participant comprehension and needs in real-time for optimal engagement and effectiveness.
Choice D rationale
Immediate post-program feedback captures participant reactions but fails to inform adjustments during the session, potentially limiting the program's impact on learner understanding.
Correct Answer is B
Explanation
Choice A rationale
Primary prevention involves actions like immunizations and education to prevent diseases or issues before they occur. Drug screening is not aimed at preventing drug use but detecting it early.
Choice B rationale
Secondary prevention focuses on early detection and intervention to reduce the progression of disease or complications. Drug screening detects drug use early to prevent worsening outcomes, making this action a secondary prevention method.
Choice C rationale
Combining primary and secondary prevention involves overlapping strategies to prevent diseases and detect them early. Drug screening alone does not include primary preventive measures, so it cannot be classified as both.
Choice D rationale
Tertiary prevention is aimed at minimizing the impact of ongoing disease or injury, focusing on rehabilitation or management. Drug screening does not involve rehabilitating or managing drug-related complications.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.