The nurse is in a maternal/child unit and is caring for a new parent. The new parent expresses concern about their safety in the home. The nurse provides the client with an intimate partner violence crisis center number. Which of the following is a way the nurse can evaluate the client's response to the safety plan?

The client explains they are not planning to leave their home.

The client thinks their home will be safer now that there is a baby in the house

The client thanks the nurse for the information.

The client puts the number of the crisis center into their phone.

Answer and Explanation

The Correct Answer is D

It indicates that the client acknowledges the importance of having a safety plan and is willing to take proactive measures to ensure their well-being and that of their child. This response suggests a positive engagement with the safety plan provided by the nurse.
A.   This response indicates that the client may not perceive their current situation as unsafe or may not be ready to take action to address potential safety concerns.
B.   This response suggests that the client may have misconceptions about how the presence of a baby in the home affects safety, especially in the context of intimate partner violence.
C.   While expressing gratitude for the information provided is a positive response, it does not necessarily indicate whether the client understands the seriousness of the situation or plans to utilize the resources provided.

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Correct Answer is D

Explanation

Identifying the client's primary health issue or reason for seeking care, the nurse can prioritize the assessment and subsequent care interventions accordingly. This approach ensures that urgent or important health issues are addressed promptly, contributing to patient safety and satisfaction.

A. Inform the client that the provider will examine sensitive areas first. B. Make sure the room temperature is cool. C. Explain to the client what is about to happen. D. Provide music as an environmental distraction.

Correct Answer is C

Explanation

Explaining the examination process to the client helps reduce anxiety and uncertainty, especially for older adults who may be unfamiliar with the procedures or have concerns about the examination. Providing clear and concise explanations in a respectful manner allows the client to feel more informed and involved in their care, which can enhance their overall experience and cooperation during the examination.

A, Sensitive areas are preferably examined last

B, Examination should be done in relatively warm environment to ensure comfort for the client

D, Distracting the client can help alley anxiety but is not crucial unless the client requests so.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is completing the intake health assessment at a clinic. Which of the following is the priority action for the nurse to take?

Correct Answer is D

Explanation

A nurse is preparing an older adult client for a physical examination the provider is about to perform. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse manager is evaluating the performance of a newly licensed nurse after performing a client interview. Which of the following nonverbal actions by the newly licensed nurse should be identified as appearing too relaxed?

A nurse is observing a client's nonverbal behavior. When evaluating this behavior, the nurse should factor in which of the following principles influencing nonverbal communication?

A nurse is admitting a client who speaks a different language than the nurse. Which of the following actions should the nurse take?

A nurse is developing the plan of care for a client who does not speak the same language as the nurse. Which of the following interventions should the nurse include?

A nurse is preparing to collect health history data during a client's admission. Which of the following questions should the nurse use to promote this discussion?

A nurse is caring for a client who is well-hydrated and who demonstrates no evidence of anemia. Which of the following laboratory values gives the nurse an assessment of the adequacy of the client's protein uptake and synthesis?

A nurse is assessing a client who reports frequent vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect? (Select all that apply.)