A young man who has had a traumatic mid-thigh amputation of his right leg refuses to look at the wound during dressing changes. Which response by the nurse is appropriate?
"Oh, for gosh sakes. it doesn't look that bad."
"I understand, but you are going to have to look someday."
"Respect your wish not to look at it right now."
"You won't be able to go home until you look at it."
The Correct Answer is C
The appropriate response by the nurse in this situation would be to respect the young man's wish not to look at the wound during dressing changes. This response shows empathy and understanding toward the patient's feelings and emotions and allows him to have control over his own care. It is important for healthcare providers to respect their patient's autonomy and decisions regarding their own care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The adult client is displaying regression, which is a defense mechanism where an individual reverts to an earlier stage of development in response to stress or conflict. In this case, the client is throwing a temper tantrum, which is a behavior typically associated with young children, because he does not get his own way. This behavior can be seen as a regression to a less mature way of coping with stress or conflict.
Correct Answer is B
Explanation
An appropriate outcome statement for a client with a discharge goal of improved mobility should be specific, measurable, achievable, relevant, and time-bound. In this case, the outcome statement "Client will ambulate without a walker by 6 weeks" meets these criteria. It specifies the desired outcome (ambulating without a walker), provides a measurable goal (6 weeks), is achievable and relevant to the client's goal of improved mobility, and includes a time frame for achieving the goal. The other statements are not specific or measurable enough to be considered appropriate outcome statements.
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