A nurse is caring for a client.

Exhibits

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client’s progress.

Choice A Reason:
Using short, simple sentences is an effective communication strategy for clients experiencing moderate anxiety. Anxiety can impair cognitive processing, making it difficult for clients to understand complex information. By using clear and concise language, the nurse can help the client better comprehend what to expect after the cardiac catheterization. This approach reduces the client's anxiety by providing information in a manageable format.

Choice B Reason:
Showing a 30-minute teaching video might be overwhelming for a client with moderate anxiety. While visual aids can be helpful, the length and complexity of the video could increase the client's anxiety rather than alleviate it. It is important to tailor the educational approach to the client's current emotional state, ensuring that the information is presented in a way that is easy to understand and not overwhelming.

Choice C Reason:
Providing detailed explanations can be counterproductive for a client with moderate anxiety. Detailed information might overwhelm the client, leading to increased anxiety and difficulty in processing the information. Instead, the nurse should focus on delivering key points in a clear and concise manner, ensuring that the client understands the most important aspects of the procedure and what to expect afterward.

Choice D Reason:
Avoiding questions is not an effective strategy for client education. Asking questions allows the nurse to assess the client's understanding and address any concerns or misconceptions. Engaging the client in a dialogue helps to build rapport and ensures that the client feels supported and informed. It is important to create an open and interactive environment where the client feels comfortable asking questions and expressing concerns.

Choice A Reason:
Offering the medication at the next scheduled dose time respects the client's autonomy and right to refuse treatment. Even though the client is involuntarily admitted, they still retain certain rights, including the right to refuse medication. The nurse should document the refusal and offer the medication again at the next scheduled time, ensuring that the client understands the importance and benefits of the medication. This approach maintains a therapeutic relationship and encourages the client to participate in their own care.

Choice B Reason:
Implementing consequences until the client takes the medication is not an appropriate or ethical approach. This method can be coercive and may damage the therapeutic relationship between the nurse and the client. It is important to respect the client's autonomy and work collaboratively to address their concerns and encourage adherence to the treatment plan.

Choice C Reason:
Administering the medication via IM injection without the client's consent is not appropriate unless there is an immediate risk to the client's safety or the safety of others. Forced medication should only be used as a last resort and in accordance with legal and ethical guidelines. The nurse should first attempt to address the client's concerns and encourage voluntary compliance with the prescribed treatment.

Choice D Reason:
Informing the client that they do not have the right to refuse the medication is incorrect and violates the client's rights. Even involuntarily admitted clients have the right to refuse treatment, except in certain emergency situations where the client poses a danger to themselves or others. The nurse should provide education about the medication and its benefits, and respect the client's decision while continuing to offer support and encouragement.