A nurse is collecting data from a client who reports an inability to cope because of their recent job loss. Which of the following actions should the nurse take?

Tell the client to think about something else.

Ask the client to describe their support system.

Ask the client why they're unable to cope.

Tell the client that everything will be okay.

Answer and Explanation

The Correct Answer is B

A)   Tell the client to think about something else. - This response dismisses the client's feelings and does not address the underlying issue of coping with job loss.
B)   Ask the client to describe their support system. - This action allows the nurse to assess the resources available to the client for coping with stress and provides an opportunity to explore potential sources of support.
C)   Ask the client why they're unable to cope. - While understanding the reasons behind the client's inability to cope is important, this question may come across as judgmental or dismissive of the client's feelings.

D)   Tell the client that everything will be okay. - While offering reassurance is important, it should be done in the context of acknowledging the client's feelings and exploring coping strategies.

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Correct Answer is B

Explanation

A. "I will gently restrain him during seizures."- Restraint during seizures can cause injury and is not recommended.
B. "I will loosen his clothing during seizures."- Loosening tight clothing helps prevent injury and ensures adequate ventilation during a seizure.
C. "I will insert a washcloth in his mouth during seizures."- Inserting objects into the mouth during a seizure can cause injury or obstruct the airway.

D. "I will turn him on his back during seizures."- Placing the client on their back during a seizure can increase the risk of aspiration. The recovery position is preferred

A. "His partner has been visiting." B. "He is voiding adequately." C. "He is allergic to sulfa." D. "He appears anxious about the transfer."

Correct Answer is C

Explanation

A) "His partner has been visiting." - While social support is important, this information is not essential for the receiving unit's immediate care planning.
B) "He is voiding adequately." - While relevant to the client's overall condition, this information may not be a priority for the receiving unit unless there are specific urinary concerns.
C) "He is allergic to sulfa." - Allergy information is critical for ensuring safe medication administration and should be included in the transfer report.
D) "He appears anxious about the transfer." - While the client's emotional state is important, it may not be the most pertinent information for the receiving unit's immediate care planning.

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A nurse is collecting data from a client who reports an inability to cope because of their recent job loss. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about seizure management with the family of a client who has a seizure disorder. Which of the following statements by a family member indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is transferring a client to another unit. Which of the following statements should the nurse include in the transfer report?

Correct Answer is C

Explanation

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A nurse is reinforcing teaching with a client about how to collect a stool specimen. Which of the following instructions should the nurse include?

A nurse is assisting with the care of a client who has a recent diagnosis of a chronic condition and is exhibiting findings of ineffective coping. Which of the following actions should the nurse take first?

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A nurse is participating in a group discussion about complicated grief associated with loss. Which of the following should the nurse identify as an example of exaggerated grief?

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A nurse is preparing to insert an indwelling urinary catheter and is verifying the client's express consent for this procedure. Which of the following actions should the nurse take?

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