A nurse is preparing to teach a client who has moderate anxiety about what to expect after their upcoming cardiac catheterization. Which of the following actions should the nurse plan to take?

Provide detailed explanations to the client.

Use short, simple sentences when speaking to the client.

Avoid asking the client questions.

Show a 30-minute teaching video to the client.

Answer and Explanation

The Correct Answer is B

Choice A reason: Providing detailed explanations to a client with moderate anxiety might overwhelm them and exacerbate their anxiety. While information is important, too much detail can be counterproductive in this context.

Choice B reason: Using short, simple sentences can help ensure that the client with moderate anxiety comprehends the information without becoming overwhelmed. This approach is conducive to learning and retention, especially when the client is anxious.

Choice C reason: Avoiding asking the client questions may seem like a way to reduce stress, but it can actually hinder engagement and understanding. Questions can help clarify the client's comprehension and provide them with a sense of involvement in their care.

Choice D reason: Showing a 30-minute teaching video might be informative, but it could be too lengthy for a client with moderate anxiety. The client may benefit more from interactive and personalized teaching methods that allow for breaks and questions as needed.

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Correct Answer is C

Explanation

Choice A reason: While a unit secretary who speaks the same language could potentially communicate with the client, they may not be trained in medical terminology or confidentiality practices. Effective communication in healthcare settings requires more than just language proficiency; it involves understanding the nuances of medical dialogue and ensuring privacy and accuracy.

Choice B reason: Relying on another client for translation is not advisable. This could breach confidentiality, and the other client may not have the necessary skills to translate medical information accurately. Additionally, it places an undue burden on the client, who is there to receive support, not to provide services.

Choice C reason: A professional translator, preferably of the same gender as the client if it makes the client more comfortable, is the best option. Professional translators are trained to handle medical terminology and to navigate the cultural nuances that may arise in communication. They are also bound by confidentiality agreements to protect the client's privacy³.

Choice D reason: While a family member may be able to communicate effectively in the client's language, there are potential issues with privacy, accuracy, and dynamics that could affect the client's comfort and willingness to share openly in a support group setting. Family members may also unintentionally alter or withhold information based on their own biases or desires.

A. Chlordiazepoxide B. Buprenorphine C. Bupropion D. Disulfiram

Correct Answer is A

Explanation

Choice A reason: Chlordiazepoxide is a benzodiazepine that is commonly used to treat the symptoms of acute alcohol withdrawal. It works by enhancing the effect of the neurotransmitter GABA, which has an overall calming effect on the nervous system. This helps to reduce the severity of withdrawal symptoms such as anxiety, agitation, and the risk of seizures.

Choice B reason: Buprenorphine is an opioid partial agonist-antagonist used primarily to treat opioid addiction and is not typically used for alcohol withdrawal. While it can help with some withdrawal symptoms, it does not address the full spectrum of alcohol withdrawal symptoms and is not the standard treatment for this condition.

Choice C reason: Bupropion is an antidepressant and smoking cessation aid. It affects neurotransmitters in the brain but is not indicated for the treatment of alcohol withdrawal. Therefore, it would not be the expected medication for managing acute alcohol withdrawal symptoms.

Choice D reason: Disulfiram is used as a deterrent agent in the management of chronic alcoholism. It causes unpleasant effects when even small amounts of alcohol are consumed, which helps to maintain abstinence but is not used for treating acute withdrawal symptoms.

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A nurse is preparing to teach a client who has moderate anxiety about what to expect after their upcoming cardiac catheterization. Which of the following actions should the nurse plan to take?

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