A nurse is caring for a client who has borderline personality disorder (BPD). As part of the client's plan of care, the nurse reviews the day's schedule with the client each morning. As the nurse begins to review the schedule with the client, the client says, "Why don't you shut up already? I can read it myself, you know!" Which of the following responses should the nurse give the client?

"I don't like it when you address me with that tone of voice."

"I know you can, but are you going to read it or not?"

"Fine. Here is the schedule, and I will expect you to be on time to your therapies.

"We do this every day. Why are you so angry with me this morning?"

Answer and Explanation

The Correct Answer is A

This response addresses the client's disrespectful tone and sets a boundary regarding acceptable communication. It promotes respect and professionalism in the nurse-client relationship while addressing the immediate behavior.

B. It maintains a neutral tone and encourages cooperation without escalating the conflict. However, it may come across as slightly confrontational and could potentially provoke further resistance from the client.

C. This response accommodates the client's request to have the schedule provided without further interaction. However, it may reinforce the client's dismissive and disrespectful behavior by complying with their demands without addressing the underlying communication issue.

D. It encourages the client to reflect on their feelings and provides an opportunity for open communication about any issues or concerns they may have. However, it may not be the most effective response in the moment as it could potentially escalate the conflict or lead to further defensiveness from the client.

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Correct Answer is C

Explanation

Explaining the examination process to the client helps reduce anxiety and uncertainty, especially for older adults who may be unfamiliar with the procedures or have concerns about the examination. Providing clear and concise explanations in a respectful manner allows the client to feel more informed and involved in their care, which can enhance their overall experience and cooperation during the examination.

A, Sensitive areas are preferably examined last

B, Examination should be done in relatively warm environment to ensure comfort for the client

D, Distracting the client can help alley anxiety but is not crucial unless the client requests so.

A. Albumin B. Sodium C. Calcium D. Potassium

Correct Answer is A

Explanation

Albumin is a protein produced by the liver and is the most abundant protein in the blood. It plays a crucial role in maintaining colloidal osmotic pressure, transporting various substances in the blood, and regulating fluid balance. Low levels of albumin may indicate inadequate protein intake or synthesis, as albumin levels are affected by protein status and liver function.

B, C and D are not indicative of protein synthesis.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing an older adult client for a physical examination the provider is about to perform. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for a client who is well-hydrated and who demonstrates no evidence of anemia. Which of the following laboratory values gives the nurse an assessment of the adequacy of the client's protein uptake and synthesis?

Correct Answer is A

Explanation

A nurse is assessing a 6-year-old child who has experienced violence at school. Which of the following strategies should the nurse use during their assessment of this client?

A nurse is assessing a client who reports frequent vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect? (Select all that apply.)

A nurse has just finished a wound irrigation for a client who requires contact precautions. Which of the following pieces of personal protective equipment (PPE) should the nurse remove first?

A nurse is teaching a client who is lactose intolerant. Which of the following statements regarding lactose intolerance should the nurse include in the teaching plan?

A nurse in a clinic is interviewing a client who will undergo diagnostic testing. The nurse should ask about a client's potential allergies during which phase of the nursing process?

A nurse is assessing a client who reports feeling stress and anxiety. The client appears restless and is pacing in the room. The client is alert and oriented to person, place, and time. Which of the following findings is subjective?

A nurse on an inpatient mental health unit is caring for a client who has major depressive disorder and malnutrition. Which of the following actions should the nurse take to improve the client's nutritional status?