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?

Encourage the client to have the procedure.

Obtain consent from the client's family member.

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

Request another nurse to review the procedure with the client.

Answer and Explanation

The Correct Answer is C

A.   Encouraging the client to have the procedure disregards their autonomy and right to refuse treatment.
B.   Obtaining consent from a family member is not appropriate if the client is capable of making their own decisions.
C.   Informing the client of their legal right to refuse treatment respects their autonomy and allows them to make an informed decision about their care.
D.   Requesting another nurse to review the procedure may be helpful for clarification but does not address the client's right to refuse treatment.

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Correct Answer is A

Explanation

A. This response directly addresses the potential for self-harm, which is a critical concern when a client expresses hopelessness. It is an open-ended question that invites the client to discuss their feelings and provides the nurse with information to assess the client's safety.
B. Asking the client a why question may not be alright and this may make them to be guarded.
C. This response may come off as dismissive and lacks empathy towards the client's feelings.
D. Suggesting medication without further assessment is premature and may not address the root cause of the client's statement.

A. Hypothermia B. Lethargy C. Bradycardia D. Hypertension

Correct Answer is D

Explanation

A. Cocaine use typically causes hyperthermia (elevated body temperature) rather than hypothermia.
B. Cocaine use is more likely to result in increased alertness, agitation, and hyperactivity rather than lethargy.
C. Cocaine use is associated with tachycardia rather than bradycardia.

D. Cocaine is a stimulant drug that increases sympathetic nervous system activity, leading to elevated blood pressure as one of the primary clinical manifestations.

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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

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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?

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?