Time orientation within cultures can vary quite a bit. The client receiving a transplant will need to maintain a strict schedule of antirejection medications. The client states that he has never used a watch before, and his people do things when they know they should be done. An appropriate response by the nurse would be which of the following?
"You have to take these at a certain time, or you will die."
“Well, that's your prerogative. Here is the schedule. If you adhere to it, you'll be healthier."
“Tell me more about that. Let's talk about finding a method that will work for you."
"Here is the schedule Here is a watch. You take these three medications at 8 am, these four at noon, and these three,again, at 5 pm. At 10 pm. you have these five pills, and you will take them at 3 pm.”
The Correct Answer is C
“Tell me more about that. Let's talk about finding a method that will work for you" is an appropriate response by the nurse. The nurse is using a client-centered approach, which is important to ensure the client is involved in his own care. By asking the client to share more about his cultural perspective on time and finding a method that works for him, the nurse is providing individualized care and encouraging the client to take an active role in his treatment plan.
The other options may be seen as dismissive, threatening, or too rigid, which can negatively impact the therapeutic relationship and the client's adherence to the medication regimen.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
Echinacea is commonly used to boost the immune system and prevent colds and other infections.Ginseng is a stimulant that is often used to improve physical performance and reduce fatigue. Aloe is a natural anti-inflammatory and antibacterial agent that is often used to promote healing of burns, cuts, and other skin injuries.
Ginkgo biloba does not cause fibrin clot formation, but rather has been shown to have an anticoagulant effect, meaning it can decrease the clotting ability of the blood. Chamomile is not known for enhancing the immune response to influenza A, but rather for its calming effects and its use as a sleep aid.
Correct Answer is C
Explanation
The priority action of the nurse to ensure client safety during a transfer from the bed to a wheelchair is to lock the wheels of the wheelchair. This will prevent the wheelchair from moving and provide a stable surface for the client to transfer onto.
Encouraging the client to push up from the wheelchair is not a safe option, as it could result in the client losing their balance and falling.
Ensuring the client is bathed before getting into the wheelchair is not directly related to client safety during the transfer.
Placing the bed in the lithotomy position, which involves positioning the client with their feet in stirrups and their legs elevated, is not necessary for a transfer to a wheelchair and could potentially increase the risk of injury.
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