A client tells the nurse how they hate the way their boss orders them around and never listens to their suggestions. Which response is best for the nurse to provide?
"Why do you allow your boss to get you so upset?"
"How do you feel when your boss does not listen to your suggestions?"
"Maybe you should use a different approach with your boss."
"It must be difficult for you to work in a situation that makes you feel so unhappy."
The Correct Answer is D
A. "Why do you allow your boss to get you so upset?": This response may come across as judgmental and places blame on the client, which can shut down communication rather than promote openness and trust in the nurse-client relationship.
B. "How do you feel when your boss does not listen to your suggestions?": While this is an open-ended question, it directs the client to focus narrowly on emotions without first acknowledging their overall experience or offering empathy for their situation.
C. "Maybe you should use a different approach with your boss.": Offering unsolicited advice prematurely can make the client feel misunderstood. It may also discourage further sharing by shifting the focus to problem-solving too quickly rather than validating feelings.
D. "It must be difficult for you to work in a situation that makes you feel so unhappy.": This is the best response because it conveys empathy and acknowledges the client's emotional experience. It encourages the client to continue expressing feelings in a supportive and nonjudgmental environment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D"]
Explanation
A. Check skin for unusual bruising: Bruising is not directly related to sweating or being overweight. While it may be assessed routinely, it is not a priority concern in relation to diaphoresis and skin integrity in overweight individuals.
B. Palpate mucus membranes for cracks: Cracked mucous membranes are more commonly associated with dehydration or dry environments, not specifically with diaphoresis or obesity. It is not a primary concern in this context.
C. Observe skin under the breasts: Overweight clients are prone to moisture accumulation and friction under skin folds, including under the breasts. This area should be inspected for signs of irritation, fungal infections, or skin breakdown due to excessive sweating.
D. Assess skin folds of perineal area: Moisture can collect in perineal folds, especially in overweight clients, leading to maceration or infection. Regular inspection and cleansing of this area are important during personal care.
E. Monitor color of nailbeds: Nailbed color may reflect oxygenation or circulation, but it is not directly related to sweating or overweight status. It is not a focused assessment based on the findings provided.
Correct Answer is B
Explanation
A. Assess peripheral oxygen saturation: While evaluating oxygenation is important in altered mental status, it is not the priority after restraints have been applied. Oxygen saturation may contribute to confusion, but neurological assessment is more directly relevant.
B. Determine baseline neurologic status: Establishing a neurological baseline is crucial after a sudden change in consciousness and behavior. It helps monitor for further deterioration or improvement and guides decisions about restraint necessity and care interventions.
C. Schedule a sitter around the clock: A sitter may be needed, but this decision should be based on a full assessment of the client’s condition and risk factors. It is not the first priority immediately after application of restraints.
D. Administer an IV anxiolytic medication: Medication may be considered later if the behavior persists or worsens, but it must be based on assessment findings and provider orders. The initial focus should be on identifying the underlying cause of the behavioral change.
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