A nurse is reinforcing teaching with the parent of a newborn about security procedures. Which of the following instructions should the nurse include?

"You should verify the identity of anyone who wants to remove your baby from the room."

"You can leave your baby in your room while you walk in the hallway."

"Your baby should have one identification band on either their right arm or right leg."

"You can leave the unit with your baby as long as you notify the nurse."

Answer and Explanation

The Correct Answer is A

The nurse should include the instruction to "verify the identity of anyone who wants to remove your baby from the room" in the teaching about security procedures. It is important for parents to be vigilant and ensure that only authorized personnel have access to their baby.

Option b is incorrect because it may not be safe for the parent to leave their baby unattended in their room while they walk in the hallway.

Option c is incorrect because newborns typically have two identification bands, one on their arm and one on their leg.

Option d is incorrect because parents should not leave the unit with their baby without proper authorization and discharge procedures.

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Correct Answer is C

Explanation

Echolalia is the repetition of words or phrases spoken by others. In this case, the client is repeating the nurse's question, "How are you?" This is an example of echolalia.

a) "I am lovistrated" is an example of neologism, which is the creation of new words.

b) "Super, trooper, and duper" is an example of clang association, which is the use of words that sound alike but have no logical connection.

d) "Pink spots in Africa" is an example of a thought disorder, which is a disruption in the organization and expression of thoughts.

A. Place the client in a room that is ventilated to the outside. B. Wear a gown when delivering the client's food tray. C. Prohibit visitors while the client's infection is active. D. Administer a tuberculin skin test prior to discharge.

Correct Answer is A

Explanation

A nurse admitting a client who has active tuberculosis should place the client in a room that is ventilated to

the outside. This is an appropriate nursing intervention to prevent the spread of tuberculosis to others.

The other options are not correct.

b) The nurse does not need to wear a gown when delivering the client's food tray but should wear a mask and gloves.

c) Visitors are not prohibited while the client's infection is activebut should be limited and should wear masks.

d) A tuberculin skin test is not necessary prior to discharge as the client has already been diagnosed with active tuberculosis.

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Naxlex Comprehensive Predictor Exams

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