A client scheduled for a tubal ligation procedure starts to cry as she is wheeled into the surgical suite. Which of the following nursing statements is an appropriate nursing response?
"Why did you make the decision to have this procedure?"
"It's not too late to cancel the surgery if you want to."
"This won't take long and it will be over before you know it."
"You shouldn't be worried because the procedure is very safe."
The Correct Answer is B
A. This question may make the client feel judged or pressured to justify their decision.
B. The nurse's primary role is to support the client's autonomy and decision-making.
C. This statement may minimize the client's concerns and fail to address their emotional state.
D. While it's important to reassure the client about the safety of the procedure, it's also essential to acknowledge and validate their emotions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While notifying the risk manager might be appropriate if there is an ongoing pattern of safety concerns or systemic issues, it is not the most immediate or direct way to address the immediate concern of the nurse's inability to safely care for clients in an unfamiliar unit.
B. The charge nurse has the authority to modify assignments and can reassign clients or adjust responsibilities based on the nurse's experience and competency. By communicating the concern to the charge nurse, the newly licensed nurse can ensure that clients receive safe and effective care, and the charge nurse can make adjustments to better align the assignment with the nurse's experience level.
C. Documenting the concern in the nurse's notes is important for record-keeping but does not address the immediate need for reassignment or adjustments. Documentation is useful for future reference or to support any formal complaints or reviews but does not solve the current issue of inadequate experience for the assigned tasks.
D. Accepting the assignment while relying on assistive personnel may compromise patient safety if the nurse does not have the necessary experience. Although assistive personnel can provide support, they cannot substitute for the nurse's clinical judgment and skills.
Correct Answer is D
Explanation
A. While consulting with the nurse manager is appropriate in some cases, it's important to first verify the AP's scope of practice.
B. If the AP is not qualified to perform the task, the nurse may need to perform it themselves or delegate it to someone who is qualified. However, it's important to first verify the AP's scope of practice to avoid unnecessary delegation.
C. This may be a viable option if the AP is not qualified to perform the task and the nurse is unable to do it themselves. However, it's important to ensure that the licensed practical nurse has the necessary training and competence to perform the task safely and effectively.
D. The AP job description outlines the specific tasks and responsibilities that the AP is authorized to perform. By checking the job description, the nurse can determine if the AP is indeed qualified to perform oral care for an unconscious client.
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