An 84-year-old cognitively-impaired gentleman is admitted from a skilled nursing facility to your acute care facility for increasing agitation and combativeness in the last few days. Which of the following is an example of effective communication with this client?

Speak loudly and use simple words

Address the client by name and reorient client

Challenge the client to refocus his attention when he becomes agitated

Ask the client a series of questions without allowing time for the client to answer

Answer and Explanation

The Correct Answer is B

A. Speak loudly and use simple words: Speaking loudly may be perceived as shouting and can increase agitation. Using simple words is appropriate, but volume should be normal and calm.
B. Address the client by name and reorient client: Addressing the client by name and reorienting him is effective because it respects his dignity and helps him understand his current situation, reducing confusion and agitation. This approach is clear, respectful, and supportive.
C. Challenge the client to refocus his attention when he becomes agitated: Challenging the client can be confrontational and may escalate agitation. It is better to use a calm, reassuring approach.
D. Ask the client a series of questions without allowing time for the client to answer: This can overwhelm and frustrate the client, leading to increased agitation.

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Correct Answer is D

Explanation

A. Principles of nursing practice: While important, the principles of nursing practice are more general and do not specifically address confidentiality as comprehensively as the Code of Ethics.
B. Nursing Scope and standards of practice: These outline the expectations for professional practice but are not as focused on confidentiality as the Code of Ethics.
C. American Nurses Association posting statements: This is not a recognized document for guiding professional standards related to confidentiality.
D. Code of Ethics for Nurses from the ANA: The Code of Ethics for Nurses from the American Nurses Association (ANA) provides guidelines on maintaining patient confidentiality and professional conduct.

A. Assess the clients pain level B. Ask the client to demonstrate use of the incentive spirometer C. Develop a short-term goal for the client D. Provide instructions on how to use the incentive spirometer E. Provide instructions on how to use the incentive spirometer

Correct Answer is B

Explanation

A. Assess the client's pain level: Assessing the client's pain level is part of the assessment step, not the evaluation step.
B. Ask the client to demonstrate use of the incentive spirometer: Asking the client to demonstrate use of the incentive spirometer is a way to evaluate whether the client has understood and can perform the skill.
C. Develop a short-term goal for the client: Developing a short-term goal is part of the planning step, not the evaluation step.
D. Provide instructions on how to use the incentive spirometer: Providing instructions is part of the implementation step, not the evaluation step.

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An 84-year-old cognitively-impaired gentleman is admitted from a skilled nursing facility to your acute care facility for increasing agitation and combativeness in the last few days. Which of the following is an example of effective communication with this client?

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Naxlex Comprehensive Predictor Exams

A charge nurse is teaching a new nurse the importance of patient confidentiality in providing competent care. What professional standards would the charge nurse refer to in the teaching?

Correct Answer is D

Explanation

The nurse is preparing a teaching plan for a client who is learning to use the incentive spirometer. The nurse identifies the following action as part of the evaluation step in the teaching plan.

Correct Answer is B

Explanation

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