The nurse enters a client's room to perform a physical assessment and finds the client crying. Which response is best for the nurse to provide?
"I am sorry to disturb you at a difficult time. This can walt until later."
“While touching the client's forearm, asks, "Would you like to talk about it?"
"This is a bad time. I can see you are upset. I can come back later."
“Gives the client a hug and says, "It is okay to cry when you are sad."
The Correct Answer is B
A. "I am sorry to disturb you at a difficult time. This can wait until later."
This response acknowledges the client's distress but does not actively engage with the client's emotions or offer support. It also suggests postponing the assessment, which may not be necessary if the client is willing to discuss their feelings.
B. “While touching the client's forearm, asks, 'Would you like to talk about it?'"
This response demonstrates empathy and offers the client an opportunity to express their feelings if they wish to do so. By gently touching the client's forearm and asking if they would like to talk, the nurse conveys support and openness to the client's emotional needs.
C. "This is a bad time. I can see you are upset. I can come back later."
While this response acknowledges the client's emotions and offers to return later, it may not be the most helpful approach. It assumes that the client does not want to engage in conversation at that moment without giving them the opportunity to express their preferences.
D. “Gives the client a hug and says, 'It is okay to cry when you are sad.'"
While offering physical comfort like a hug can be appropriate in some situations, it's important to respect the client's personal boundaries and preferences, especially if they are in distress. Additionally, some clients may not feel comfortable with physical touch from healthcare providers. This response also assumes the client's emotions without directly addressing their needs or offering them an opportunity to express themselves verbally.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Regular exercise:
Regular exercise is important for overall cardiovascular health and can help reduce the risk of developing heart disease. However, smoking cessation is more crucial because smoking is a significant risk factor for heart disease and quitting smoking has immediate and long-term benefits for heart health.
B. Smoking cessation:
Smoking is a major risk factor for heart disease as it damages the blood vessels, increases blood pressure, reduces oxygen supply to the heart, and promotes the formation of blood clots. Encouraging smoking cessation is essential for reducing the risk of heart disease and improving overall health.
C. Low-fat diet:
Adopting a low-fat diet can help lower cholesterol levels and reduce the risk of heart disease, but it may not be as critical as smoking cessation for individuals with a family history of cardiac disease.
D. Stress reduction:
While stress reduction techniques such as relaxation exercises, meditation, and mindfulness can be beneficial for heart health, addressing smoking cessation is more urgent for individuals with a family history of cardiac disease, as smoking is a more significant risk factor for heart disease.
Correct Answer is ["0.5"]
Explanation
To find out how many milliliters the nurse should administer, we first need to calculate the volume required to deliver 200 mg of streptomycin.
Given:
Streptomycin concentration: 1 gram/2.5 mL
Dose prescribed: 200 mg
We'll start by converting the dose prescribed from milligrams (mg) to grams (g) since the concentration is given in grams:
200 mg = 0.2 grams
Now, we can set up a proportion to find the volume (x) needed to deliver 0.2 grams of streptomycin:
1 gram / 2.5 mL = 0.2 grams / x
Cross-multiplying:
1 * x = 0.2 * 2.5
x = 0.5 mL
So, the nurse should administer 0.5 milliliters of streptomycin.
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