A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure. The client informs the nurse that they do not want to have the procedure. Which of the following actions should the nurse take?

Inform the client that they have the legal right to refuse treatment at any time.

Encourage the client to have the procedure.

Obtain consent from the client's family member.

Request another nurse to review the procedure with the client.

Answer and Explanation

The Correct Answer is A

Choice A reason:
It is essential to respect the client's autonomy and right to make decisions about their own health care. Informing the client of their legal right to refuse treatment empowers them to make an informed choice and ensures that their rights are upheld. The nurse should also explore the client's concerns and provide support and information to help alleviate any anxiety related to the procedure.

Choice B reason:
While it may be beneficial for the client's health to have the procedure, the nurse should not simply encourage the procedure without addressing the client's concerns. The nurse's role includes providing information and support to help the client make an informed decision, rather than persuading them to agree to the procedure.

Choice C reason:
Obtaining consent from a family member is not appropriate unless the client is legally unable to make their own medical decisions. The client's right to consent or refuse treatment should be respected, and the nurse should work directly with the client to address their concerns and provide necessary information.

Choice D reason:
Requesting another nurse to review the procedure with the client may be helpful if the client is seeking additional information or if there is a communication barrier. However, this should not replace the client's right to refuse treatment. The primary action should be to inform the client of their rights and address their concerns directly.

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Correct Answer is A

Explanation

Choice A reason:
Monitoring the client's bathroom trips is crucial in managing bulimia nervosa. Clients with bulimia often engage in purging behaviors, such as self-induced vomiting, after eating. By monitoring bathroom trips, the nurse can help prevent these behaviors and ensure the client is not engaging in harmful activities that can exacerbate their condition.

Choice B reason:
Allowing the client's family to bring food can be problematic. Family members may not understand the nutritional needs and restrictions necessary for the client's recovery. They might bring foods that trigger binge-purge cycles or do not align with the therapeutic meal plan established by healthcare professionals.

Choice C reason:
Allowing the client to create their own meal schedule is not advisable. Clients with bulimia nervosa often have distorted perceptions of food and eating. A structured meal plan created by healthcare professionals is essential to ensure balanced nutrition and to help the client develop healthier eating patterns

Choice D reason:
Encouraging the client to exercise frequently can be harmful. Clients with bulimia nervosa may already engage in excessive exercise as a compensatory behavior to control weight. Encouraging more exercise can reinforce unhealthy behaviors and potentially lead to physical harm.

A. A client who reports lying to their provider about having suicidal ideation. B. A client who reports that they enjoy smoking marijuana on weekends. C. A client who reports that they took $20 from the cash register where they work. D. A client who reports that their partner ties their child to a bed as punishment.

Correct Answer is D

Explanation

Choice A reason:
A client lying about suicidal ideation to their provider does not fall under mandatory reporting unless there is evidence or suspicion of harm to self or others. In this case, the client has reported lying, which indicates there is no actual suicidal ideation or intent.

Choice B reason:
While smoking marijuana may be illegal in some jurisdictions, it does not typically require mandatory reporting by a nurse unless it directly affects patient care or involves minors.

Choice C reason:
Theft from an employer is a legal issue but does not require mandatory reporting by a nurse unless it involves stealing medication or other actions that could harm patients.

Choice D reason:
This choice clearly involves child abuse, which is a reportable offense. Nurses are mandated reporters for any suspected child abuse or neglect. Tying a child to a bed as punishment can cause physical and emotional harm, and it is the nurse's duty to report this to the appropriate agency to ensure the child's safety.

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Body System	Findings
Neurological:	a. Impaired cognition b. Insomnia c. Seizures
Cardiovascular:	d. Increased blood pressure e. Increased heart rate f. Diaphoresis
Gastrointestinal:	g. Lack of appetite h. Vomiting
Musculoskeletal:	i. Tremulousness j. Malaise

A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure. The client informs the nurse that they do not want to have the procedure. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has bulimia nervosa. Which of the following interventions should the nurse include in the client's plan of care?

Correct Answer is A

Explanation

For which of the following clients is a nurse considered a mandated reporter to the appropriate agency?

Correct Answer is D

Explanation

A nurse is caring for a client who is scheduled for electroconvulsive treatment (ECT). The client states, "I no longer want to have the treatment." Which of the following statements would be an appropriate response from the nurse?

A nurse is caring for a client who has been taking quetiapine for 1 week and reports dizziness. The client asks the nurse if the dizziness indicates an allergic reaction to the medication. Which of the following responses should the nurse make?

A nurse is providing teaching to the caregiver of an older adult client who has Alzheimer's disease and is being cared for at home. The client wanders at night and has a history of previous falls. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

A nurse is caring for a client who has physical restraints applied. The nurse determines that the restraints should be removed when which of the following occurs?

A nurse is assessing a client who has been receiving electroconvulsive therapy. Which of the following findings indicates the treatment is effective?

A nurse is caring for a group of clients in a mental health facility. Which of the following is a task that can be delegated to assistive personnel?

A nurse is providing teaching about self-care behaviors to a client who has major depressive disorder. Which of the following statements by the client indicates an understanding of the teaching?