A nurse is caring for a hospitalized client who is experiencing sensory overload due to the hospital environment. Which of the following actions should the nurse take?

Encourage visitors throughout the day.

Provide the client with earplugs.

Spread client care activities throughout the shift.

Keep the door to the client's room open.

Answer and Explanation

The Correct Answer is B

A. Encourage visitors throughout the day: Increased visitor interactions may worsen sensory overload by adding more stimuli.

B. Provide the client with earplugs. Earplugs help reduce environmental noise and sensory input, addressing the client's sensory overload and promoting rest and comfort.

C. Spread client care activities throughout the shift: Consolidating care activities, rather than spreading them out, minimizes interruptions and helps reduce sensory input.

D. Keep the door to the client's room open: Keeping the door open can increase noise and stimuli, exacerbating sensory overload.

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Correct Answer is C

Explanation

A. Spirituality can increase depression: Spirituality often alleviates, rather than increases, depression.

B. Spirituality can increase feelings of hopelessness: Spirituality typically fosters hope and comfort.

C. Spirituality can increase emotional and psychological comfort. Spirituality often helps individuals find meaning, peace, and connection during end-of-life care, improving emotional and psychological well-being.

D. Spirituality can increase the desire to hasten death: Spirituality generally supports coping and a peaceful end-of-life experience rather than a desire to hasten death.

A. Encouraging client feedback about satisfaction with the facility experience. B. Explaining unit rules and policies regarding unacceptable behaviors. C. Supporting the client's wish to refuse prescribed medications. D. Making sure the client understands expectations for client participation.

Correct Answer is C

Explanation

A. Encouraging client feedback about satisfaction with the facility experience: This reflects client-centered care but does not directly demonstrate autonomy.

B. Explaining unit rules and policies regarding unacceptable behaviors: This action involves setting expectations rather than promoting client autonomy.

C. Supporting the client's wish to refuse prescribed medications. Autonomy involves respecting a client's right to make their own decisions about their care, including the decision to refuse treatment, as long as they have the capacity to do so.

D. Making sure the client understands expectations for client participation: This is about ensuring clarity of expectations rather than honoring the client's right to self-determination.

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A nurse is caring for a hospitalized client who is experiencing sensory overload due to the hospital environment. Which of the following actions should the nurse take?

Nursing Test Bank

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