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. Depression: While change can contribute to depression, it does not necessarily stimulate depression in everyone.
B. Stress: Any event requiring change can stimulate stress as individuals adapt to new situations or challenges.
C. Anxiety: While change can cause anxiety, stress is a broader term that encompasses both anxiety and other reactions.
D. Anger: Change can lead to anger, but stress is the more encompassing term that describes the overall reaction to change.
Correct Answer is C
Explanation
A. Fever: Fever can cause weakness or dizziness, but it is not a sudden cause of falling when getting up.
B. A decrease in venous return can contribute to orthostatic hypotension but is not a direct cause on its own.
C. Orthostatic hypotension is a common cause of sudden falls in older adults when they change positions, leading to dizziness or fainting.
D. Dehydration can lead to orthostatic hypotension but is not as direct a cause of sudden falls when getting up as orthostatic hypotension itself.
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