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 D
Explanation
Relieving pressure from the heel is essential to prevent further damage to the skin and underlying tissues. This can be achieved by using specialized cushions, repositioning the client regularly, or elevating the foot to reduce pressure.
While documenting the reddened area is important to monitor the progression of the wound, asking the client how the area became reddened and assessing their diet may not be the most relevant interventions in this situation.
Correct Answer is C
Explanation
If the child is able to cough and breathe effectively, the nurse should encourage the child to continue coughing and monitor them closely. If the child appears to be struggling to breathe or is not able to cough effectively, the nurse should intervene immediately and administer appropriate first aid, which may include abdominal thrusts (also known as the Heimlich maneuver) or other emergency measures to clear the airway obstruction.
Putting hands by his neck is a universal sign of choking and is not an action the nurse should undertake.
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