A nurse is preparing a client for a physical assessment. The client appears anxious about the assessment. Which statement by the nurse would be most appropriate?

"This is nothing to worry about. It won't hurt you."

"Let me tell you what I'll be doing. It should not be painful."

"Some of the examination may be painful, but will be gentle."

"I have to do this, so just relax and it won't last long."

Answer and Explanation

The Correct Answer is B

The most appropriate statement by the nurse would be to explain the procedure to the client and reassure them that it should not be painful. This can help alleviate the client's anxiety and make them feel more comfortable and informed about the assessment.

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Correct Answer is D

Explanation

A stage II pressure ulcer is a wound that involves partial-thickness loss of skin. The most appropriate NANDA nursing diagnosis problem statement for a client with this condition would be Impaired Skin Integrity. This diagnosis reﬂects the fact that the client's skin has been damaged and is no longer intact. Risk for Injury, Altered Tissue Perfusion, and Impaired Tissue Integrity are also NANDA nursing diagnoses, but they are not as specific or relevant to the client's condition as Impaired Skin Integrity.

A. Bargaining B. Denial C. Anger D. Depression

Correct Answer is B

Explanation

According to Kubler-Ross's stages of grieving, denial is the first stage. It is a defense mechanism that helps individuals cope with the overwhelming emotions associated with loss. In this case, the client is refusing to believe that the loss of her husband is happening and is likely experiencing denial as a way to cope with her grief

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A nurse is preparing a client for a physical assessment. The client appears anxious about the assessment. Which statement by the nurse would be most appropriate?

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Naxlex Comprehensive Predictor Exams

The client has a documented stage II pressure ulcer on the right hip. What NANDA nursing diagnosis problem statement is most appropriate to use with this client?

Correct Answer is D

Explanation

A nurse is taking care of a client who just lost her husband to a terminal illness. The client is refusing to believe that the loss is happening. Which of Kubler-Ross's stages of grieving is the client experiencing?

Correct Answer is B

Explanation

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