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
Remaining attentive but silent is an appropriate response by the nurse.
This allows the client to express their feelings and concerns without interruption or judgment.
It also shows the client that the nurse is actively listening and interested in what they have to say.
Choice A is not an appropriate response because placing a client on a 72-hour hold should only be done if the client is a danger to themselves or others.
Choice C is not an appropriate response because leaving the room immediately would be unprofessional and could make the client feel abandoned.
Choice D is not an appropriate response because telling the client that everything will be fine may not be true and could give false hope.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Background noise can interfere with the ability of a person with hearing loss to understand speech, even when wearing a hearing aid.
By turning off the television, the nurse can reduce background noise and improve communication with the client.
Choice A) Chewing gum is not an appropriate intervention to improve communication with a client who has hearing loss.
Choice C) Speaking loudly and clearly may help, but it is not as effective as reducing background noise.
Choice D) Using paper and pencil may be helpful in some situations, but it is not the most effective intervention to improve communication with a client who is wearing a hearing aid.
Correct Answer is B
Explanation
Asking “What types of food do you eat for meals and between meals?” is considered a culturally sensitive question because it shows respect for the individual’s dietary habits and preferences.
Choice A is not correct because asking “Are you required to pray in a certain way at certain times?” may come across as intrusive or judgmental.
Choice C is not correct because asking “Are you familiar with the way we prepare meals?” may come across as presumptuous or dismissive of the individual’s cultural background.
Choice D is not correct because asking “Are you okay with not having kosher meals?” may come across as dismissive of the individual’s dietary needs or religious beliefs.
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