A nurse is preparing an older adult client for a physical examination the provider is about to perform. Which of the following actions should the nurse take?
Inform the client that the provider will examine sensitive areas first.
Make sure the room temperature is cool.
Explain to the client what is about to happen.
Provide music as an environmental distraction.
The Correct Answer is C
Explaining the examination process to the client helps reduce anxiety and uncertainty, especially for older adults who may be unfamiliar with the procedures or have concerns about the examination. Providing clear and concise explanations in a respectful manner allows the client to feel more informed and involved in their care, which can enhance their overall experience and cooperation during the examination.
A, Sensitive areas are preferably examined last
B, Examination should be done in relatively warm environment to ensure comfort for the client
D, Distracting the client can help alley anxiety but is not crucial unless the client requests so.
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Related Questions
Correct Answer is C
Explanation
A. The nurse should speak directly to the client in the first person, even when using an interpreter. Speaking in the third person can create confusion and distance in communication.
B. This action demonstrates respect and engagement with the client, even though the nurse is using an interpreter. Eye contact can help to build rapport and ensure that the client feels heard and understood.
C. The interpreter should ideally sit beside or slightly behind the nurse, allowing the nurse and client to see each other while the interpreter translates. This setup fosters a more personal interaction between the nurse and the client.
D. Using long sentences can make it difficult for the interpreter to accurately translate the message.
Correct Answer is D
Explanation
Given the traumatic nature of sexual assault and the potential for re-traumatization, the assessment of the genitalia and rectum should be conducted last. This allows the nurse to build rapport with the client, establish trust, and address any immediate concerns or needs before proceeding with a potentially distressing examination.
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