Which of the following should a nurse utilize to assist in preventing liability from occurring? (Select all that apply.)
Communicate effectively
Document only what is needed to understand the client's situation
Practice within own scope of practice
Advocate and assist clients with their needs including emotional needs
Maintain competencies and education.
Correct Answer : A,C,D,E
Effective communication can help to prevent misunderstandings and ensure that the client receives appropriate care.
Practicing within one’s scope of practice ensures that the nurse is providing care that is within their level of expertise and training.
Advocating for and assisting clients with their needs can help to ensure that they receive the care and support they need.
Maintaining competencies and education ensures that the nurse is up-to-date on best practices and able to provide high-quality care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
This response is open-ended and non-judgmental, allowing the client to reflect on their behavior and share their thoughts and feelings. It also avoids blaming the client or making assumptions about their intentions, which could escalate the situation and damage the therapeutic relationship.
Option A, “I feel angry when I hear that tone of voice,” focuses on the nurse's own feelings and could be perceived as confrontational or defensive.
Option B, “You make me so angry when you talk to me that way,” places blame on the client and may trigger a defensive response.
Option C, “Are you trying to make me angry?” is also confrontational and may be interpreted as accusing the client of intentionally provoking the nurse.
Correct Answer is B
Explanation
The client's statement about losing faith in God and not understanding how God could allow bad things to happen to her suggests that she is experiencing spiritual distress. This can be common among individuals experiencing depression and anxiety, as they may struggle to find meaning or purpose in their lives.
Option a, Risk for lack of faith, is not a recognized nursing diagnosis.
Option c, Risk for impaired religiosity, may be more appropriate for a client who has experienced a significant change in their religious practices or beliefs but does not necessarily indicate distress.
Option d, Risk for impaired spirituality, could be appropriate but may be too broad and not specific enough to the client's situation.
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