An older female client who resides in a long-term care facility has a male friend who often visits her in the evenings.
The practical nurse (PN) enters the client's room to administer medications and finds the couple in bed together. What action should the PN take?
Request that the man get up and leave
Report the incident to the family
Exit the room and quietly close the door
Ask when the nurse should return
The Correct Answer is D
The correct answer and explanation is:
d) Ask when the nurse should return. Correct
This is the action that the PN should take when entering the client's room and finding the couple in bed together. Asking when the nurse should return respects the client's privacy, dignity, and autonomy, while also ensuring that the client receives the necessary care.
The PN should acknowledge that the client has the right to express her sexuality and intimacy, as long as it is consensual and safe . The PN should also avoid making any judgments or assumptions about the client's relationship or preferences.
a) Request that the man get up and leave.
This is not the action that the PN should take when entering the client's room and finding the couple in bed together. Requesting that the man get up and leave is rude, disrespectful, and intrusive, as it violates the client's privacy, dignity, and autonomy. The PN should not interfere with the client's sexual or intimate activities, unless there is a clear indication of abuse, coercion, or harm.
b) Report the incident to the family.
This is not the action that the PN should take when entering the client's room and finding the couple in bed together. Reporting the incident to the family is inappropriate and unethical, as it breaches the client's confidentiality and autonomy. The PN should not share any information about the client's sexual or intimate activities with anyone without her consent, unless there is a clear indication of abuse, coercion, or harm.
c) Exit the room and quietly close the door.
This is not the action that the PN should take when entering the client's room and finding the couple in bed together. Exiting the room and quietly closing the door is passive and neglectful, as it ignores the client's needs and care.
The PN should not avoid or delay providing care to the client because of her sexual or intimate activities, unless she requests so . The PN should also communicate with the client and her partner in a respectful and professional manner.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Plantar flexion is not a test that the nurse uses to gain more information about this client's gait because it is a movement of the foot that points the toes downward, not a measure of balance or coordination.
Choice B reason: Romberg is a test that the nurse uses to gain more information about this client's gait because it is a measure of balance and proprioception, which are often impaired in ataxiA. The test involves asking the client to stand with their feet together and arms at their sides, first with their eyes open and then with their eyes closed, while observing for swaying or fallinG.
Choice C reason: Achilles reflex is not a test that the nurse uses to gain more information about this client's gait because it is a measure of the reflex response of the calf muscle when the Achilles tendon is tapped, not a measure of balance or coordination.
Choice D reason: Patellar reflex is not a test that the nurse uses to gain more information about this client's gait because it is a measure of the reflex response of the quadriceps muscle when the patellar tendon is tapped, not a measure of balance or coordination.
Correct Answer is D
Explanation
Choice A reason: Natural history of disease is not an approach that explains the factors that allow the reproduction and spread of infectious disease, but rather a description of how a disease progresses over time from exposure to outcome in the absence of intervention.
Choice B reason: Health promotion is not an approach that explains the factors that allow the reproduction and spread of infectious disease, but rather a process of enabling people to increase control over and improve their health through education, empowerment, and policy changE.
Choice C reason: Levels of prevention are not an approach that explains the factors that allow the reproduction and spread of infectious disease, but rather a classification of interventions based on their timing and purpose in relation to disease occurrencE.
Choice D reason: Epidemiologic triangle is an approach that explains the factors that allow the reproduction and spread of infectious disease, by identifying and analyzing three elements: agent (the cause of disease), host (the person who gets sick), and environment (the conditions that affect transmission).
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