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."

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Instruct the client to look at his feet: Looking down may impair balance and spatial orientation, especially in clients with neurological deficits. Maintaining an upright head position helps with stability and coordination during transfers.

B. Have the client put both arms around the nurse's neck for support: This technique is unsafe for both the nurse and the client. It can cause injury and does not promote proper body mechanics. The client should use assistive devices or be guided through proper hand placement.

C. Place the wheelchair on the client’s left side: Since the client has right-sided hemiplegia, the left side is stronger and can be used more effectively for weight-bearing and support during transfer. Positioning the wheelchair on the stronger side facilitates a safer and more independent movement.

D. Instruct the client to take slow, deep breaths while transferring: While deep breathing may promote relaxation, it does not directly aid in the mechanics or safety of the transfer process. The focus should be on physical alignment and support.

A. Have the client sign another form before surgery. B. Call the nearest relative to come in and sign a new form. C. Call the healthcare provider (HCP) to have the procedure rescheduled. D. Cross out the error and initial the consent form.

Correct Answer is C

Explanation

A. Have the client sign another form before surgery: The client has already received an opioid medication, which may impair judgment or decision-making capacity. Therefore, any new consent signed under the influence of sedatives would not be legally valid.

B. Call the nearest relative to come in and sign a new form: A relative cannot sign a surgical consent unless the client is deemed legally incompetent or unable to consent. The client is still conscious but medicated, so this step is inappropriate at this stage.

C. Call the healthcare provider (HCP) to have the procedure rescheduled: The discrepancy between the consent form and the surgical site is a serious error. Since the client has received preoperative opioids and cannot provide valid consent, the surgery should be delayed, and the HCP must be notified immediately to address the error and ensure patient safety.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A male client has right-sided hemiplegia following a left cerebrovascular accident (CVA). His sitting balance has improved, and he is now able to sit in a wheelchair. To assist the client in transferring from the bed to a wheelchair, which action should the nurse take?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

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