When interviewing a client about sexuality/reproductive function, which is the best approach for the nurse to use?

Get the most difficult questions over with first.

Begin with questions that are less sensitive in nature.

Ask questions in a vague, non-specific format.

Share personal values to put the client at ease.

Answer and Explanation

The Correct Answer is B

Choice A reason: Starting with the most difficult questions can make the client uncomfortable and less likely to be open in the discussion.

Choice B reason: Beginning with less sensitive questions can help build rapport and make the client feel more comfortable discussing more intimate details later in the interview.

Choice C reason: Asking questions in a vague, non-specific format can lead to confusion and may not yield the necessary information.

Choice D reason: Sharing personal values is not appropriate as it can bias the interaction and may make the client feel judged or uncomfortable.

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Correct Answer is A

Explanation

Choice A reason: If the oxygen reservoir bag of a partial rebreather mask does not deflate completely during inspiration, it may indicate that the flow rate is too low. Increasing the liter flow ensures adequate delivery of oxygen.

Choice B reason: Encouraging the client to take deep breaths is beneficial for overall respiratory function but will not address the issue of the reservoir bag not deflating properly.

Choice C reason: Removing the mask to deflate the bag is not a standard practice and could interrupt the delivery of oxygen to the client.

Choice D reason: Documentation of the assessment data is important, but the nurse must first address the issue with the oxygen delivery system to ensure the client is receiving the proper amount of oxygen.

A. Offer to contact the family's spiritual counselor to meet with the client and spouse. B. Discuss comfort measures with the client and family that will be available during withdrawal. C. Inform the healthcare provider of the client's desire to have life support withdrawn. D. Explain the actions that the healthcare team will follow for the removal of life support.

Correct Answer is C

Explanation

Choice A reason: Offering to contact the family's spiritual counselor can provide emotional and spiritual support, but it is not the immediate priority in a situation where the client has expressed a desire to have life support withdrawn.

Choice B reason: Discussing comfort measures is important for the client and family to understand what to expect during the withdrawal process. However, this step comes after the healthcare provider has been informed and a plan of care is being developed.

Choice C reason: Informing the healthcare provider is the priority nursing intervention. The nurse acts as an advocate for the client's wishes and ensures that the appropriate steps are taken to respect the client's autonomy and decisions regarding their care.

Choice D reason: Explaining the actions that the healthcare team will follow is an essential part of the process, but it is not the first step. The healthcare provider must first be informed so that the proper orders and arrangements can be made.

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When interviewing a client about sexuality/reproductive function, which is the best approach for the nurse to use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse assesses an adult client with a partial rebreather mask and notes that the oxygen reservoir bag does not deflate completely during respiration and the client's respiratory rate is 14 breaths/minute. Which action should the nurse implement?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

A client with emphysema tells the nurse that sitting upright in bed makes breathing easier. Which instruction is most important for the nurse to provide the assigned unlicensed assistive personnel (UAP)?

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Which explanation is best for the nurse to provide a client who asks the purpose of using the log rolling technique for turning?

The nurse is performing a routine dressing change for a client with a stage 3 pressure injury that is red with significant granulation. The wound has a gauze dressing covering the area. Which action should the nurse implement?

Exhibits Chart Reviewed For each statement, click to indicate whether the statement is true or false.