A nurse is caring for a client who was recently admitted to an inpatient mental health unit. The client tells the nurse that he is not coming out of his room anymore because other clients on the unit make fun of him. Which of the following responses by the nurse is appropriate?

"I think you should just ignore the others."

"You feel upset by the responses of others."

"Let's keep the focus of our discussion on your needs."

"Everything will get better once you get to know everyone."

Answer and Explanation

The Correct Answer is B

A.   Telling the client to ignore others minimizes their feelings and does not address the underlying issue of bullying or social discomfort.
B.   Validating the client's feelings acknowledges their emotions and demonstrates empathy, which can help build trust and rapport with the client.
C.   While it's important to address the client's needs, dismissing their concerns about social interactions may contribute to feelings of isolation and neglect.
D.   Offering reassurance without addressing the client's current distress may invalidate their feelings and overlook the need for support and intervention in the present moment.

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Free Nursing Study Resources

Correct Answer is D

Explanation

A. Hypernatremia: Hypernatremia (elevated sodium levels) is not typically associated with the emergent phase of burn injuries.
B. Hypercalcemia: Hypercalcemia (elevated calcium levels) is not typically associated with the emergent phase of burn injuries.
C. Hypermagnesemia: Hypermagnesemia (elevated magnesium levels) is not typically associated with the emergent phase of burn injuries.
D. Hyperkalemia: Hyperkalemia (elevated potassium levels) is a common electrolyte imbalance seen in the emergent phase of burn injuries due to the release of potassium from damaged cells.
It can lead to cardiac dysrhythmias and other complications if not promptly addressed.

A. Allow the family as much time as they want with the client. B. Use paper tape to hold the client's eyelids open. C. Place the client in a supine position. D. Avoid repeating information about the client's death.

Correct Answer is A

Explanation

A. Allowing the family as much time as they want with the client is essential for them to process their emotions, say goodbye, and find closure. This respects their grieving process and allows
them to spend precious moments with their loved one.

B. Using paper tape to hold the client's eyelids open is not appropriate and may cause discomfort or distress to the family.

C. Placing the client in a supine position is unnecessary after death and may not contribute to the family's comfort.
D. Avoiding repeating information about the client's death is not advisable. The nurse should be available to provide clarification, answer questions, and offer support as needed.

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A nurse is caring for a client who was recently admitted to an inpatient mental health unit. The client tells the nurse that he is not coming out of his room anymore because other clients on the unit make fun of him. Which of the following responses by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who has sustained a full-thickness burn and is in the emergent phase of the burn. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is visiting with the family of a client who has just died. Which of the following actions should the nurse take to promote comfort for the family?

Correct Answer is A

Explanation

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