The nurse prepares to meet with assigned clients after receiving hand-off communication. Which statement or question demonstrates that the nurse is in the termination phase with a client?
"After breakfast we can review the instructions for insulin self-injection again."
"As soon as I get your admission papers I'll be in to talk with you about your health problem."
“I see that you live near the hospital. Have you been living here a while?"
“I’m going to miss talking with you every day but you are better and ready to go home now."
The Correct Answer is D
A. "After breakfast we can review the instructions for insulin self-injection again.": This statement indicates ongoing interaction and teaching with the client, suggesting that the nurse is still in the working phase of the nurse-client relationship rather than the termination phase.
B. "As soon as I get your admission papers I'll be in to talk with you about your health problem.": This statement implies the initiation of a relationship and care plan, indicating that the nurse is in the orientation phase rather than the termination phase.
C. “I see that you live near the hospital. Have you been living here a while?": This statement reflects rapport-building and exploration of the client’s background, which are part of the initial phases of the nurse-client relationship. It does not signify the termination phase.
D. “I’m going to miss talking with you every day but you are better and ready to go home now.": This statement clearly indicates the termination phase of the nurse-client relationship. It acknowledges the emotional aspect of the relationship while confirming that the client is prepared for discharge, signifying the conclusion of the care provided. This reflects a transition in the relationship as the nurse prepares to end interactions with the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A client who is 1 day postoperative and has a nursing assistant helping him out of bed: While this client is at risk due to being postoperative, the presence of a nursing assistant provides additional support and assistance, which helps mitigate the risk of falling during this transition.
B. An older adult client who is confused and has urinary frequency: This client is at the greatest risk for a fall. Confusion can impair judgment and coordination, and urinary frequency can lead to hurried movements to the bathroom, increasing the likelihood of falls. Older adults are generally more susceptible to falls due to physiological changes, and the combination of confusion and the need for frequent trips to the bathroom heightens this risk significantly.
C. A client with diabetes mellitus who has a leg ulcer: Although this client may have mobility issues related to the leg ulcer, diabetes does not inherently increase the risk for falls as much as confusion and urinary frequency do. The focus would be on wound care rather than immediate fall risk.
D. An adolescent client who has a leg fracture and has been using crutches for the past 2 days: While this client is at risk due to the leg fracture and the use of crutches, they are likely to have received instruction on proper use of the crutches. If the client is following these instructions, the risk may not be as high as that of the confused older adult.
Correct Answer is B
Explanation
A. Clean the client's dentures with regular toothpaste: Regular toothpaste can be too abrasive for dentures and may cause scratches or damage. It is better to use a cleanser specifically designed for dentures to avoid harming the surface while effectively cleaning them.
B. Place the client's dentures on a washcloth in a sink: This is a proper action to take when cleaning dentures. Placing the dentures on a washcloth in the sink provides a cushioned surface to prevent them from breaking if they slip out of the nurse's hands. Additionally, it helps to prevent them from rolling around in the sink, which can lead to damage.
C. Rinse the client's dentures in hot water: Rinsing dentures in hot water can warp the material or alter the fit, potentially leading to discomfort or ineffective cleaning. It is recommended to rinse dentures with lukewarm or cool water instead to maintain their integrity.
D. Remove the client's dentures with a moist glove: While using gloves is important for maintaining hygiene, removing the client's dentures with moist gloves is not necessary. The dentures should be removed carefully with clean, dry hands or gloves, and moisture is not required for this process.
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