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 ["A","E"]
Explanation
The correct answers are:
a) Transport a urine culture sample to the laboratory. Correct
This is a client care intervention that the PN can assign to the UAP. Transporting a urine culture sample to the laboratory is a routine and non-invasive task that does not require clinical judgment or skill. The UAP should follow the standard precautions and protocols for handling and labeling the specimen.
b) Obtain a post-voided residual (PVR) volume.
This is not a client care intervention that the PN can assign to the UAP. Obtaining a post-voided residual (PVR) volume is a procedure that requires clinical judgment and skill, as it involves using a bladder scanner or catheterizing the client to measure the amount of urine left in the bladder after voiding.
The UAP is not trained or authorized to perform this task, and it should be done by the PN or another licensed nurse.
c) Teach the client with fluid restrictions how to measure urine output.
This is not a client care intervention that the PN can assign to the UAP. Teaching the client with fluid restrictions how to measure urine output is an educational activity that requires clinical judgment and skill, as it involves assessing the client's learning needs, providing clear and accurate instructions, and evaluating the client's understanding and compliance. The UAP is not trained or authorized to perform this task, and it should be done by the PN or another licensed nurse.
d) Irrigate an indwelling urinary catheter for a client with bladder suspension.
This is not a client care intervention that the PN can assign to the UAP. Irrigating an indwelling urinary catheter for a client with bladder suspension is a procedure that requires clinical judgment and skill, as it involves inserting sterile fluid into the bladder through the catheter to flush out any clots, debris, or bacteria. The UAP is not trained or authorized to perform this task, and it should be done by the PN or another licensed nurse.
e) Empty bedside drainage unit for a client with indwelling urinary catheter. Correct
This is a client care intervention that the PN can assign to the UAP. Emptying bedside drainage unit for a client with indwelling urinary catheter is a routine and non-invasive task that does not require clinical judgment or skill. The UAP should follow the standard precautions and protocols for emptying, measuring, and recording the urine output.
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Correct Answer is D
Explanation
Choice A reason: A public health nurse is a nurse who works to promote and protect the health of populations and communities, not specific workplaces.
Choice B reason: A community nurse specialist is a nurse who has advanced education and training in a specific area of community health, such as mental health, gerontology, or maternal-child healtH.
Choice C reason: A nurse clinician is a nurse who has expertise in a clinical area of nursing practice, such as critical care, oncology, or wound carE.
Choice D reason: An occupational health nurse is a nurse who works to prevent and treat work-related injuries and illnesses, as well as promote the health and safety of workers and the environment.
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