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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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Choice A rationale:

Discussing a client’s information with staff who have provided care in the past is not appropriate unless it is necessary for the client’s current care.

Choice B rationale:

The provider does not need to give consent to discuss health information with the client’s family. The client is the one who must give consent.

Choice C rationale:

This statement is correct. A client retains the legal right to privacy of health information even after they have died.

Choice D rationale:

A provider may not speak to a client’s employer regarding a substance use disorder without the client’s consent.

A. Obtain a prescription for haloperidol. B. Take the client to the seclusion room. C. Verbally de-escalate the client. D. Place the client in restraints.

Correct Answer is C

Explanation

Choice A rationale:

Obtaining a prescription for haloperidol is not the first intervention the nurse should implement. Medication should be considered only after non-pharmacological interventions have been attempted.

Choice B rationale:

Taking the client to the seclusion room is not the first intervention the nurse should implement. Seclusion should be used only as a last resort when all other interventions have failed and the client is a danger to themselves or others.

Choice C rationale:

Verbally de-escalating the client is the first intervention the nurse should implement. This involves using calm, clear communication to help the client regain control of their emotions.

Choice D rationale:

Placing the client in restraints is not the first intervention the nurse should implement. Restraints should be used only as a last resort when all other interventions have failed and the client is a danger to themselves or others.

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A nurse is speaking with the sibling of a client who refuses to see visitors. Which of the following actions should the nurse take?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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A nurse is speaking with the sibling of a client who refuses to see visitors.
Which of the following actions should the nurse take?.