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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E","F"]
Explanation
A. Participation in group therapy - This indicates the client's engagement in therapeutic interventions, suggesting progress in addressing their alcohol use disorder and coping with grief.
B. Movement through the stages of grief - Progress in processing grief is a positive sign of emotional healing and adjustment.
C. Client resolves to limit alcohol consumption - While resolution to limit alcohol consumption would be an ideal outcome, there is no specific indication in the scenario that the client has made this resolution.
D. Appetite - Although improvement in appetite would be a positive sign, there is no specific mention of the client's appetite in the provided information, so it cannot be assumed that this finding indicates progress in the client's plan of care.
E. Cognition - Improvement in cognition suggests a reduction in the effects of alcohol intoxication or withdrawal, indicating progress in treatment.
F. Vital signs - Stable vital signs within normal range suggest physiological stability and potentially a positive response to treatment.
Correct Answer is A
Explanation
A. Generalizing involves making broad statements that apply universally, without specific evidence or context. The client's statement, "My partner is always criticizing me," is a generalization because it suggests a pervasive pattern of behavior without specifying particular instances or situations.
B. Manipulating involves influencing or controlling others for personal gain. The client's statement does not demonstrate manipulation.
C. Distracting involves diverting attention away from the topic at hand. The client's statement is not an example of distraction.
D. Placating involves seeking to please others or avoid conflict by agreeing with them. The client's statement does not demonstrate placating behavior.
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