A nurse is speaking with the sibling of a client who refuses to see visitors.
Which of the following actions should the nurse take?.
Encourage the client to visit with the sibling.
Tell the sibling the client does not want visitors.
Arrange for the sibling to visit the client in the dayroom.
Refer the sibling to the client's provider.
The Correct Answer is B
Choice A rationale:
It’s not appropriate to pressure the client into seeing visitors.
Choice B rationale:
It’s important to respect the client’s wishes and communicate them to the sibling.
Choice C rationale:
This could potentially cause distress for the client.
Choice D rationale:
While it might be helpful to involve the provider, the immediate issue can be addressed by the nurse.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Making a personal introduction to the client at each interaction is a recommended approach for clients with dementia. It helps to orient the client and establish a connection, which can reduce confusion and anxiety.
Choice B rationale:
Giving a client with dementia a list of foods to choose from for dinner may be overwhelming due to impaired decision-making abilities.
Choice C rationale:
Choice D rationale:
Providing a dark environment for sleeping can be disorienting for a client with dementia. A low level of light can help the client maintain orientation to their surroundings.
Correct Answer is B
Explanation
Choice A rationale:
While it’s important to understand the client’s situation, the immediate safety of the baby is the priority.
Choice B rationale:
This response is the priority as it assesses the immediate safety of the baby.
Choice C rationale:
While support is important, the immediate safety of the baby is the priority.
Choice D rationale:
While communication with the partner is important, the immediate safety of the baby is the priority.
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