A client states, *I don't know what to do. My life is a mess." What is an appropriate response by the nurse?
Place the client on a 72-hour hold immediately
Remain attentive, but silent
Leave the room immediately
Tell the client that everything will be fine
The Correct Answer is B
An appropriate response by the nurse to a client who states, "I don't know what to do. My life is a mess." would be to remain attentive and engage with the client in a therapeutic way. This type of statement by the client may indicate feelings of hopelessness, despair, or even suicidal ideation, so it's important for the nurse to respond in a supportive and empathetic manner.
Placing the client on a 72-hour hold immediately would not be an appropriate response unless the client presents an imminent danger to themselves or others. Similarly, leaving the room immediately or telling the client that everything will be fine would not address the client's concerns or provide appropriate support.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The intervention the nurse can implement to improve communication with an older client who is wearing a hearing aid is to speak loudly and clearly. Speaking loudly and clearly can help the client to better understand what is being said, especially if they are experiencing hearing loss. However, it is important for the nurse to speak clearly without shouting, as shouting can distort speech and make it more difficult for the client to understand.
Chewing gum can actually hinder communication, as it can affect speech clarity and create distracting noises.
Turning off the television can help to reduce background noise and make it easier for the client to hear, but it may not be necessary in all cases.
Using a paper and pencil can be helpful in some situations, but it may not be necessary if the client is able to hear and understand verbal communication.
Correct Answer is D
Explanation
According to Maslow's hierarchy of needs, all people have basic human needs that must be fulfilled in order to achieve self-actualization and reach their full potential.
These basic human needs include physiological needs such as air, water, food, and shelter; safety needs such as physical safety, emotional security, and financial stability; love and belonging needs such as the need for love, affection, friendship, and community; esteem needs such as the need for self-esteem, confidence, achievement, and respect from others; and self-actualization needs such as the need for personal growth, creativity, and fulfillment of one's potential.
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