A nurse is caring for a client who has been admitted and diagnosed with type 1 diabetes mellitus. The client tells the nurse she has decided to go home. Which of the following actions should the nurse take?
Ask the client if she would like a sedative to help her relax.
Inform the client that she cannot leave without a discharge prescription from the provider.
Assign a security officer to the client's room until the provider can speak with the client.
Have the client sign the Against Medical Advice form.
The Correct Answer is B
A. Offering a sedative might not address the situation appropriately; the client's decision to leave needs to be managed through proper channels.
B. Informing the client about the discharge process and the requirement of a discharge prescription from the provider is appropriate and educates the client on the necessary steps.
C. Assigning a security officer might not be necessary unless there are safety concerns or imminent risks.
D. Having the client sign the Against Medical Advice (AMA) form might be necessary if the client insists on leaving against medical advice, but explaining the proper discharge process should be attempted first.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Pertussis is a notifiable disease, meaning healthcare providers are required to report cases to the state health department for public health monitoring and intervention.
B. Rotavirus, though significant, may not be a reportable disease in all regions.
C. Group B streptococcal disease might require reporting in certain circumstances but typically isn't as universally notifiable as pertussis.
D. Respiratory syncytial virus might require reporting in specific situations, but pertussis typically has broader reporting requirements.
Correct Answer is ["A","C","E"]
Explanation
A. Case manager: Helps coordinate various aspects of the client's care, including appointments, services, and resources.
B. An occupational therapist can help clients with physical or mental disabilities to perform daily activities, but this is not the primary goal for a client who has anorexia nervosa.
C. Nutritional therapist: Assists in developing and implementing a structured and healthy eating plan to address nutritional deficiencies and eating behaviors.
D. A physical therapist can help clients with musculoskeletal or neurological
impairments to improve their mobility and function, but this is not the main concern for a client who has anorexia nervosa.
E. Mental health counselor: Provides psychotherapy and counseling to address the psychological aspects of anorexia nervosa, including body image, self-esteem, and underlying emotional issues.
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