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
The client who should be seen by the nurse first is the elderly man with a fractured hip. This is because a fractured hip is a medical emergency that requires immediate attention to prevent complications, such as blood clots, pressure ulcers, and pneumonia.
The nurse should prioritize this client's care and ensure that they receive prompt medical attention, including pain management, immobilization of the affected hip, and preparation for surgery if necessary. Although the other clients may also require nursing care, they do not have urgent or emergent medical conditions that require immediate attention.
The client with acute diarrhea may require assessment and treatment for dehydration or infection, but this can be managed within a reasonable timeframe.
The client who is anxious may require emotional support and counseling, but this is not an emergency.
The woman who feels isolated may benefit from social support and community resources, but this can be addressed at a later time.
Correct Answer is C
Explanation
The primary purpose of an incident report is to document any unexpected or unplanned event that occurs in a healthcare setting, including any adverse events or near misses that involve a patient, staff member, or visitor.
Incident reports are used to identify the underlying causes of an event, to help prevent similar incidents from occurring in the future, and to provide information that can be used to improve the quality and safety of care. Incident reports are not intended to assign blame or responsibility, but rather to gather information and identify opportunities for improvement.
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