A client says to a nurse, “I’m afraid of radiation therapy.” The nurse replies, “Radiation kills the cancer cells.” Which statement best describes the nurse?
She is able to confront a painful subject.
She needs to learn more from the client.
She recognizes that the client needs information.
She perceives that the client is ready to hear more about the treatment.
The Correct Answer is B
This is because the nurse’s reply does not address the client’s fear of radiation therapy, but rather provides factual information that may not be relevant or helpful to the client.
The nurse is not using a therapeutic communication technique, such as reflecting, exploring, or validating the client’s feelings.
Instead, the nurse is shutting down the communication and missing an opportunity to learn more about the client’s concerns and needs.
Choice A is wrong because the nurse is not confronting a painful subject, but rather avoiding it.
The nurse is not acknowledging the client’s fear or inviting the client to talk more about it.
Choice C is wrong because the nurse is not recognizing that the client needs information, but rather assuming that the client does.
The nurse is not asking the client what he or she wants to know about radiation therapy, but rather telling the client what he or she should know.
Choice D is wrong because the nurse is not perceiving that the client is ready to hear more about the treatment, but rather imposing information on the client.
The nurse is not assessing the client’s readiness to learn, but rather giving unsolicited advice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A two-day postoperative client who has a large abdominal incision and says, “Something feels like it just popped open after I practiced my coughing”. This client may have a dehiscence or separation of the surgical wound, which is a serious complication that requires immediate attention.
The nurse should evaluate this client first and notify the surgeon.
Choice B is wrong because bile-colored fluid draining from a nasogastric tube is an expected finding after abdominal surgery and does not indicate an urgent problem.
The nurse should monitor the client’s fluid and electrolyte balance and provide antiemetics as needed.
Choice C is wrong because a three-day postoperative client who has an ileostomy and reports the need to have a bowel movement may have a paralytic ileus or a temporary cessation of bowel motility. This is a common postoperative complication that usually resolves within 72 hours.
The nurse should assess the client’s bowel sounds, abdominal distension, and ostomy output and encourage early mobilization and oral intake as tolerated.
Choice D is wrong because a three-day postoperative client who is receiving intravenous antibiotics for a wound infection may have a surgical site infection or an infection that occurs within 30 days of surgery. This is a preventable complication that can be managed with antibiotics, wound care, and infection control measures.
The nurse should monitor the client’s vital signs, wound appearance, and laboratory values and educate the client on signs and symptoms of infection.
Correct Answer is B
Explanation
.“I need to receive 3 doses of hepatitis B vaccination to assure protection.” This statement indicates that the person understands that hepatitis B is a serious infection that can be prevented by vaccination.
Hepatitis B vaccine is given as a series of 3 shots over a period of 6 months.
Choice A is wrong because hepatitis A is not usually transmitted through unprotected sex, but through ingestion of contaminated food or water or direct contact with an infected person.
Hepatitis A can also be prevented by vaccination.
Choice C is wrong because hepatitis C can be transmitted through IV drug use, as well as blood transfusions, organ transplants, needlestick injuries, and sharing personal items such as razors or toothbrushes with an infected person.
Hepatitis C can cause chronic liver disease and there is no vaccine for it.
Choice D is wrong because there is a vaccine for hepatitis A, which can provide lifelong protection against the infection.
Hepatitis A usually does not require treatment and most people recover completely within a few weeks. There is no specific medication to cure hepatitis
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