A nurse is transferring a client to another unit.
Which of the following statements should the nurse include in the transfer report?

He appears anxious about the transfer.

His partner has been visiting.

He is voiding adequately.

He is allergic to sulfa.

Answer and Explanation

The Correct Answer is D

Choice A rationale

He appears anxious about the transfer provides subjective information about the client's emotional state. While important, it's not essential for the transfer report which typically focuses on objective, actionable data.

Choice B rationale

His partner has been visiting is valuable for understanding the client's support system, but it does not directly affect the client's clinical care during transfer.

Choice C rationale

He is voiding adequately offers relevant information about the client's bodily function, important for ongoing care but not as critical as allergy information.

Choice D rationale

He is allergic to sulfa provides essential medical information that can affect the client's treatment plan. Knowing allergies is crucial to prevent adverse reactions to medications.

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Correct Answer is C

Explanation

Choice A rationale

Documenting the refusal in the client's medical record is important for legal and clinical reasons, ensuring there's a record of the client's decision and the nurse's response. However, it doesn't address the client's immediate concerns or needs.

Choice B rationale

Returning the medication to the medication cabinet is a necessary step to ensure medication safety and avoid accidental administration. Yet, it does not address the client's reasons for refusal or the potential risks involved.

Choice C rationale

The nurse’s first action should be to provide client education about the importance of taking the medication and the potential consequences of refusal (e.g., increased blood pressure, risk of stroke or heart attack). Addressing the client’s concerns about side effects can encourage adherence or lead to an alternative treatment plan.Client autonomy is respected, but ensuring informed refusal is part of the nurse’s role.

Choice D rationale

The provider should be informed, but only after the nurse has attempted to educate and address the client’s concerns. The provider may adjust the prescription if side effects are problematic.

A. A client whose grief response is repressed. B. A client whose grief response begins following a terminal diagnosis. C. A client whose grief response leads to self-destructive behaviors. D. A client whose grief response is triggered by a secondary loss.

Correct Answer is C

Explanation

Choice A rationale

A repressed grief response, where an individual avoids expressing their grief, is considered delayed grief, not exaggerated grief. This can manifest as physical symptoms or psychological issues later on.

Choice B rationale

Grief that begins following a terminal diagnosis is anticipatory grief, which is a normal response as individuals begin to process the impending loss. It prepares them emotionally for the eventual death.

Choice C rationale

Exaggerated grief involves intense, prolonged, and often harmful reactions such as self-destructive behaviors. This type of grief can significantly impair a person's ability to function and may require professional intervention.

Choice D rationale

A grief response triggered by a secondary loss (e.g., loss of job or home) is known as cumulative grief. While it complicates the grieving process, it does not inherently lead to the exaggerated, self-destructive behaviors seen in exaggerated grief.

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A nurse is transferring a client to another unit.Which of the following statements should the nurse include in the transfer report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A nurse is transferring a client to another unit.
Which of the following statements should the nurse include in the transfer report?