A client with a terminal illness without an advance directive stops breathing and does not have a heartbeat. What should the nurse do?

Call a partial code.

Call a code.

Call the physician.

Call a "slow code."

Answer and Explanation

The Correct Answer is B

In the absence of an advance directive, the nurse should call a code ³. This means initiating emergency resuscitation measures to try to revive the client. The other options (Call a partial code, Call the physician, and Call a "slow code") are not appropriate in this situation.

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Correct Answer is C

Explanation

Values clarification is the process of assisting another to clarify their own values in order to facilitate decision-making ¹. In this case, the client who has been blinded as a result of an injury has informed the nurse of her plans to return to her counseling practice and work full-time. This demonstrates that the client has prioritized her values and made a decision based on them.

A. Review the client's progress toward personal objectives. B. Encourage the client to use self-exploration. C. Elicit information from the client. D. Talk with others who have information about the client.

Correct Answer is C

Explanation

During the introductory (orientation) phase of the nurse-client relationship, the nurse should focus on establishing trust and rapport with the client. One way to do this is by eliciting information from the client through active listening and open-ended questioning. This allows the nurse to gather important information about the client's health status, needs, and concerns and helps to establish a foundation for the therapeutic relationship. Reviewing progress toward personal objectives and encouraging self-exploration is more appropriate for later phases of the relationship.

Talking with others who have information about the client may also be helpful, but it is important to prioritize direct communication with the client during this phase.

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A client with a terminal illness without an advance directive stops breathing and does not have a heartbeat. What should the nurse do?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has been blinded as a result of an injury has informed the nurse of her plans to return to her counselling practice and work full-time. The nurse should realize that this client is demonstrating which aspect of values clarification?

Correct Answer is C

Explanation

A nurse is caring for a client in the introductory (orientation) phase of the nurse-client relationship. Which of the following communication techniques should the nurse use during this phase?

Correct Answer is C

Explanation

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