You find a patient on the floor at shift change. She is awake and alert. She is confused now and was not controlled before being found on the floor.
What is your first step in the nursing process in this situation?
Leave the patient to get help.
Call the patient’s health-care provider from your cell phone.
Help the patient get up and then document your findings in the chart.
Gather more information by making observations about the patient.
The Correct Answer is D
The first step in the nursing process is assessment, which involves gathering information about the patient’s condition. In this situation, the nurse should make observations about the patient’s physical and mental status, including any signs of injury or distress. This information can then be used to determine the appropriate course of action and provide appropriate care. The other
The other options do not represent the first step in the nursing process and may not be appropriate in this situation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Empathy is the ability to understand and share the feelings of another person. It involves acknowledging and validating the other person's emotions and experiences. In this scenario, the nurse should demonstrate empathy towards the client who is expressing her feelings about her child's insensitive behavior.
Option a is dismissive and minimizes the client's concerns. It does not show empathy or understanding of the client's situation.
Option b might sound sympathetic, but it could also come across as pitying, which may not be helpful or supportive for the client. It also does not reflect an understanding of the client's feelings.
Option d is judgmental and critical, and it could make the client feel defensive and unsupported.
Option c is the best response as it shows empathy and validates the client's emotions. It acknowledges the client's difficulty and demonstrates the nurse's understanding and support for the client's situation.
Correct Answer is C
Explanation
Trust is an essential component of a therapeutic relationship between a healthcare provider and a patient. By promising to return and re-assess the client's pain in a timely manner, the nurse is demonstrating reliability and follow-through, which can help to build trust between the nurse and the client.
Option c is therefore the correct answer.
Sympathy refers to feeling sorry for someone's situation or emotions.
Empathy is the ability to understand and share the feelings of another person.
Closure refers to the process of ending a therapeutic relationship in a way that is satisfactory for both the patient and the healthcare provider. None of these options accurately describes the aspect of the therapeutic relationship that the nurse is developing in this scenario.
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