A client verbalizes to a mental health counselor, "My life is meaningless since my spouse divorced me and that I no longer want to live." What nursing concern, resulting from the client's spiritual distress, is appropriate for care planning?

lack of power

fear

sexual impairment

self-harm risk

Answer and Explanation

The Correct Answer is D

A. Lack of power refers to feelings of helplessness but does not directly address the expressed desire to no longer live.
B. Fear may be present but is not the primary concern expressed.
C. Sexual impairment is unrelated to the client’s statement about meaning and desire to live.
D. The client’s statement indicates suicidal ideation, making self-harm risk the most appropriate nursing concern to address.

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Correct Answer is C

Explanation

A. It’s important for clients to ask for pain medications, this is not a misconception.
B. Nurses are indeed there to help relieve pain, this is a correct belief.
C. Many clients mistakenly fear they will become addicted to pain medications, which is a common misconception.
D. Clients should not have to endure pain without help, this is a correct understanding.

A. Advise increasing milk or milk products in the diet to provide stool bulk. B. Encourage physical activity to improve bowel regularity. C. Advise decreasing dietary fiber in the diet to enhance stooling. D. Suggest use of warm compresses on the abdomen to increase gastrointestinal motility.

Correct Answer is B

Explanation

A. Increasing milk or milk products is not recommended because dairy can sometimes contribute to constipation rather than relieve it.
B. Encouraging physical activity is the best intervention to improve bowel regularity and decrease the risk of constipation by stimulating intestinal motility.
C. Decreasing dietary fiber would worsen constipation, as fiber adds bulk to stool and promotes regular bowel movements.
D. Warm compresses on the abdomen may provide comfort but do not significantly increase gastrointestinal motility to prevent constipation.

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A client verbalizes to a mental health counselor, "My life is meaningless since my spouse divorced me and that I no longer want to live." What nursing concern, resulting from the client's spiritual distress, is appropriate for care planning?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which misconception is common in clients in pain?

Correct Answer is C

Explanation

The nurse is creating a plan of care for an older adult client at risk for constipation. Which intervention by the nurse will decrease this risk?

Correct Answer is B

Explanation

The nurse is completing a sterile dressing change on a confused client. During the procedure, the client reaches down and touches the contents of the open dressing kit. What is the nurse's next action?

The home health nurse is caring for an older adult client living alone at home who is incontinent of urine and changes the adult diaper (pad) daily. The nurse plans care based on which nursing concern?

When providing culturally competent care to a client, which aspect of care is most important for the nurse to keep in mind?

A new nursing graduate has made an error in documentation that led to an unexpected client outcome. When aiming to avoid future errors, which action should the nurse prioritize?

A nurse is providing ongoing postoperative care to a client who has had knee surgery. The nurse assesses the dressing and finds it saturated with blood. The client is restless and has a rapid pulse. What should the nurse do next?

A nurse manager is conducting an in-service education program for a group of staff nurses on developing cultural competence. The nurse manager determines that the educational program was successful based on which statement by the group?

In order to prevent the possibility of venous stasis, a nurse is educating a surgical client on how to perform leg exercises. Which statement by the client indicates a sound understanding of leg exercises?