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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
The client's best friend moving away can significantly impact their emotional well-being and stress levels. Emotional support is crucial during recovery from major surgery like coronary artery bypass. The absence of a close friend can lead to feelings of loneliness and increased stress, which can negatively affect the healing process. Stress can elevate cortisol levels, which may impair immune function and slow down recovery. Therefore, the nurse should recognize this factor as a potential interference with the client's recovery.
Choice B reason:
Walking the dog daily is generally beneficial for recovery. Physical activity, such as walking, can improve cardiovascular health, enhance mood, and reduce stress. It helps in maintaining mobility and preventing complications like blood clots. Therefore, this activity is unlikely to interfere with the client's recovery and may actually support it.
Choice C reason:
Stopping coffee consumption can have mixed effects. While reducing caffeine intake might be beneficial for some individuals, abrupt cessation can lead to withdrawal symptoms such as headaches, irritability, and fatigue. These symptoms can add to the client's stress and discomfort during recovery. However, this is generally a temporary issue and not as significant as the emotional impact of losing a close friend.
Choice D reason:
Exercising in the morning is typically a positive habit for recovery. Regular exercise can improve circulation, reduce stress, and enhance overall physical health. It can also help in maintaining a routine and providing a sense of normalcy. Therefore, morning exercise is unlikely to interfere with recovery and is usually encouraged.
Correct Answer is A
Explanation
Choice A reason:
Assisting the client to ambulate for the first time following the procedure is a task that can be delegated to assistive personnel (AP). This task involves helping the client with mobility, which is within the scope of practice for APs. They are trained to assist with activities of daily living, including ambulation, under the supervision of a registered nurse.
Choice B reason:
Checking the client's condition after the procedure is a critical task that requires clinical judgment and assessment skills. This task should be performed by a registered nurse (RN) who can evaluate the client's vital signs, level of consciousness, and overall condition to identify any potential complications.
Choice C reason:
Witnessing the client's signature on the consent for the procedure is a legal responsibility that should be carried out by a registered nurse or another licensed healthcare provider. This task ensures that the client has given informed consent and understands the procedure, risks, and benefits.
Choice D reason:
Administering atropine 30 minutes before the procedure is a medication administration task that requires knowledge of pharmacology and the ability to monitor for adverse reactions. This task should be performed by a registered nurse or another licensed healthcare provider.
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