A client is seen in the clinic after a failed in-vitro fertilization. Which nursing problem has the highest priority?
Impaired verbal communication.
Ineffective individual coping.
Altered sexuality patterns.
Impaired social isolation.
The Correct Answer is B
A. Impaired verbal communication: While difficulty expressing feelings may occur after IVF failure, it does not immediately threaten the client’s emotional or physical well-being and is lower priority compared to coping.
B. Ineffective individual coping: Emotional distress after a failed IVF attempt can significantly affect mental health, daily functioning, and decision-making. Supporting effective coping is the highest priority to prevent depression, anxiety, or maladaptive behaviors.
C. Altered sexuality patterns: Concerns about sexual intimacy may develop following infertility treatment, but these issues are secondary to the client’s immediate coping and emotional adjustment needs.
D. Impaired social isolation: Social withdrawal can occur due to emotional distress, but it is a consequence of ineffective coping. Addressing coping strategies first helps prevent or reduce social isolation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["15"]
Explanation
Prescribed dose = 3 mg
Available concentration = 1 mg per 5 mL
Calculate the volume in milliliters (mL) to administer.
Volume (mL) = (Prescribed dose (mg) / Available concentration (mg)) x Available volume (mL)
= (3 mg / 1 mg) x 5 mL
= 3 x 5 mL
= 15 mL.
Correct Answer is C
Explanation
A. Report the situation to the nursing supervisor or peer review committee: Formal reporting is generally reserved for repeated or severe breaches of professional conduct. Immediate, low-risk interventions can be attempted first to correct behavior without escalating.
B. Determine if the conversation was overheard by the clients: While awareness of potential client exposure is helpful, it does not directly address or correct the unprofessional behavior in real time.
C. Suggest going to the nurses' lounge if she needs to discuss these topics: Redirecting the PN to a private area for personal conversations addresses the issue promptly and maintains client confidentiality and professionalism. This approach is practical, respectful, and prevents further exposure to clients and visitors.
D. Ask the PN to lower her voice when visitors walk by: Lowering the voice may reduce audibility temporarily but does not fully prevent exposure or reinforce professional boundaries. A private location is a more effective solution.
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