The nurse is performing an initial assessment on an alcoholic patient. Which of the following actions by the nurse would best ensure honest answers?
Having a nonjudgmental attitude
Promising the patient not to tell anyone
Not asking personal questions
Including the family
The Correct Answer is A
A. Having a nonjudgmental attitude: A nonjudgmental attitude fosters trust and openness, encouraging the patient to provide honest answers.
B. Promising the patient not to tell anyone: This may be unethical and impractical as certain information may need to be shared for the patient's care.
C. Not asking personal questions: Personal questions are necessary to understand the patient's condition and provide appropriate care.
D. Including the family: Including the family might inhibit the patient's honesty due to fear of judgment or privacy concerns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Joint contractures are a long-term concern, not an immediate threat during the emergent phase.
B. Hypovolemic shock due to fluid loss is a primary concern in the emergent phase of a burn injury.
C. Fluid overload is not a primary concern in the emergent phase, though it could be a concern in the later resuscitative phase.
D. Adrenal failure is not typically an immediate concern in the emergent phase of burn care.
Correct Answer is D
Explanation
A. Is commonly known as a cold sore: Cold sores are typically caused by herpes simplex type 1 (HSV-1), not type 2.
B. Usually affects the labia in women. While HSV-2 can affect the labia, it is not exclusive to this area and can affect other genital regions in both men and women.
C. Is characterized by a vesicle at the corner of the mouth, lips, or nose. These symptoms are more characteristic of HSV-1.
D. Is often associated with lesions in the genital area. Herpes simplex type 2 (HSV-2) is primarily associated with genital herpes, causing lesions and outbreaks in the genital and anal areas.
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