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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
When selecting interventions for a care plan, the nurse should consider several principles. One important principle is that actions should address the underlying cause (etiology) of the nursing diagnosis. By addressing the root cause of the problem, interventions can be more effective in achieving the desired outcomes. There is not necessarily one "best" intervention for each goal or outcome, as different clients may have different needs and respond differently to interventions. Interventions can include both "doing" actions and monitoring, and both independent and collaborative interventions may be appropriate depending on the situation.
Correct Answer is A
Explanation
By offering free occult blood screenings at a community health fair, the nurse is providing illness prevention services. Illness prevention refers to actions taken to prevent the onset of illness or disease. In this case, occult blood screening can help detect early signs of colorectal cancer, allowing for early intervention and treatment to prevent the development of the disease.
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