The nurse is assisting with patient data collection in a clinic. The nurse is assigned to a young female patient who has an older male friend present at her bedside. The patient is nervous, timid, very thin, and with poor hygiene and lets the friend answer all of the nurse's questions. What actions should the nurse take?
Whisper to patient that she will be saved.
Confront the family friend to allow the patient to ask questions.
Consult the health care team about the suspicions and call local authorities to investigate.
Ask the patient if she feels safe, while the friend is in the room.
The Correct Answer is D
Explanation:
A. Whisper to the patient that she will be saved.
This action is inappropriate and does not address the underlying issues of the patient's condition or the presence of the family friend. Whispering such a statement may also be confusing or alarming to the patient.
B. Confront the family friend to allow the patient to ask questions.
While it's important to facilitate open communication with the patient, confronting the family friend directly may not be the most effective approach initially. It's crucial to first assess the patient's comfort level and safety before addressing the situation with the friend.
C. Consult the healthcare team about the suspicions and call local authorities to investigate.
Jumping to conclusions and involving authorities without gathering more information or assessing the patient's feelings directly could escalate the situation unnecessarily. It's important to handle such concerns with sensitivity and professionalism, involving appropriate resources only when needed.
D. Ask the patient if she feels safe, while the friend is in the room.
This is the most appropriate action initially. By directly asking the patient about her feelings of safety, the nurse can gauge the patient's comfort level and assess any potential concerns or risks. This approach allows the nurse to gather information and address any issues in a supportive and patient-centered manner. If the patient expresses concerns or discomfort, further assessment and appropriate interventions can be implemented, which may include involving other members of the healthcare team or authorities if necessary.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Explanation:
A. Avoid touching the client:
While it's essential to be gentle and respectful when touching an unresponsive client, avoiding all touch may not be appropriate. Touch can be a comforting and reassuring gesture, and many clients at the end of life benefit from gentle touch, such as holding their hand or providing a gentle massage.
B. Continue to talk to the client as if they are awake:
Talking to the client, even if they are unresponsive, is encouraged. Hearing is often the last sense to diminish, and talking to the client in a soothing and reassuring manner can provide comfort and a sense of presence. The nurse should speak calmly and compassionately, addressing the client by name and providing updates on care activities.
C. Limit the client's visitors to one at a time:
Limiting the number of visitors and controlling the environment can help maintain a calm and peaceful atmosphere for the client. However, the specific number of visitors allowed at a time may vary based on the client's preferences, cultural considerations, and facility policies. It's important to respect the client's wishes regarding visitors while ensuring their comfort and well-being.
D. Whisper when talking in the client's room:
Whispering may not be necessary unless the client is particularly sensitive to loud noises. Speaking in a calm and gentle tone is generally more appropriate, as it allows the client to hear clearly without causing unnecessary strain or confusion.
Correct Answer is D
Explanation
Explanation:
A. "Qualitative research studies how to implement EBP into various settings."
This statement is not accurate. Qualitative research focuses on exploring phenomena, understanding experiences, and interpreting meanings rather than specifically studying how to implement evidence-based practice (EBP) into different settings. Qualitative research methods often involve interviews, observations, and thematic analysis.
B. "Quantitative research aims to understand the feelings associated with a particular event."
This statement is not accurate. Quantitative research primarily deals with numerical data and aims to quantify relationships, measure variables, and analyze data using statistical methods. Understanding feelings associated with events is more aligned with qualitative research, which explores subjective experiences and perceptions.
C. "Qualitative research uses larger sample sizes than quantitative research."
This statement is generally not true. Qualitative research typically uses smaller sample sizes compared to quantitative research. Qualitative studies focus on in-depth exploration and understanding of a smaller number of cases, often using purposive sampling to select participants who can provide rich and meaningful insights into the phenomenon being studied.
D. "Quantitative research analyzes collected data using statistical methods."
This is the correct statement. Quantitative research involves the collection of numerical data, which is then analyzed using statistical techniques to identify patterns, relationships, trends, and associations. Statistical methods such as regression analysis, t-tests, ANOVA, correlation, and others are commonly used in quantitative research to interpret and draw conclusions from the data.
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