A nurse finds a client who is awaiting the results of diagnostic tests sitting in bed crying. Which response by the nurse would best facilitate communication?

“Would you like me to get you some tissues?”.

“I see that you’re upset. I’ll come back later.”.

“I see that you’re crying. Tell me about it.”.

“How can I help you?”.

Answer and Explanation

The Correct Answer is C

Tell me about it.” This response by the nurse would best facilitate communication because it acknowledges the client’s emotional state and invites the client to express their feelings.

It also shows empathy and respect for the client.

Choice A is wrong because it does not address the client’s emotional needs or encourage communication.

It also implies that the nurse is uncomfortable with the client’s crying and wants to avoid it. Choice B is wrong because it does not show empathy or support for the client.

It also indicates that the nurse is too busy or unwilling to listen to the client.

Choice D is wrong because it is too vague and does not acknowledge the client’s emotional state.

It also puts the burden on the client to come up with a solution for their problem.

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Correct Answer is ["A","B"]

Explanation

A client with dehydration will have increased heart rate and decreased blood pressure due to the loss of fluid volume and the compensatory mechanisms to maintain cardiac output.

Choice C is wrong because dehydration does not cause increased temperature, but rather decreased temperature due to reduced blood flow to the skin.

Choice D is wrong because dehydration causes hyperactive muscle responses, such as muscle cramps, twitching, and tetany.

Choice E is wrong because dehydration can cause altered mental status, such as confusion, lethargy, or coma. Normal ranges for heart rate are 60-100 beats per minute, blood pressure is 120/80 mm Hg, and temperature is 36.5-37.5°C (97.7-99.5°F).

A. Interdependent. B. Dependent. C. Collaborative. D. Independent.

Correct Answer is D

Explanation

Independent. An independent nursing intervention is an action that a nurse can perform by themselves, without any management from a doctor or another discipline.

Taking the client’s temperature again is an example of an independent nursing intervention because it does not require a physician’s order or collaboration with other health care professionals.

Choice A is wrong because an interdependent nursing intervention is an action that requires collaboration or consultation with other health care professionals.

Taking the client’s temperature again does not involve working with other disciplines.

Choice B is wrong because a dependent nursing intervention is an action that requires an order from a physician or another health care provider.

Taking the client’s temperature again does not require a physician’s order.

Choice C is wrong because a collaborative nursing intervention is an action that involves working with other health care professionals to provide patient care.

Taking the client’s temperature again does not require collaboration with other disciplines.

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A nurse finds a client who is awaiting the results of diagnostic tests sitting in bed crying. Which response by the nurse would best facilitate communication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A middle-aged adult client with nausea and vomiting for three days presents to the emergency room. Which findings should the nurse expect to assess in a client diagnosed with dehydration? Select all that apply.

Correct Answer is ["A","B"]

Explanation

A health care provider has ordered vital signs every 4 hours. The client’s 8:00 AM temperature was 99° F (37.2° C). At 10 AM, the client reported chills. A nurse takes the client’s temperature again. Which type of nursing action does this exemplify?

Correct Answer is D

Explanation

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