A nurse is caring for a client who has just learned of her poor prognosis. The client asks the nurse to pray with her. Which of the following therapeutic responses should the nurse make?

"Why don't I get the chaplain to come and pray with you?"

"I'll come back at a time when I can spend more time with you."

"Maybe it would be better if we read a passage from the Bible."

"Do you have a preference about how we pray together?"

Answer and Explanation

The Correct Answer is D

A. "Why don't I get the chaplain to come and pray with you?" This response might make the client feel dismissed.
B. "I'll come back at a time when I can spend more time with you." This does not address the client's immediate need for spiritual support.
C. "Maybe it would be better if we read a passage from the Bible." Assuming the client wants to read the Bible may not be appropriate.
D. "Do you have a preference about how we pray together?" This response shows respect for the client's spiritual needs and preferences.

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Correct Answer is D

Explanation

A. Situation This component includes the immediate issue or reason for the report.
B. Recommendation This includes what the nurse suggests or recommends should happen next.
C. Introduction This includes the nurse's name, role, and patient details.
D. Assessment This includes the nurse's findings, including lung sounds, vital signs, and other assessment data.

A. Compile a list of the client's current medications to compare with new medications. B. Label syringes, but not medicine cups or basins, during a procedure. C. Use one client identifier for treatments, care, and services. D. Perform a daily assessment of wounds using the Braden scale.

Correct Answer is A

Explanation

A. Compile a list of the client's current medications to compare with new medications. Medication reconciliation is a key component of The Joint Commission's National Patient Safety Goals. It helps prevent medication errors by ensuring that all medications are reviewed and documented.
B. Label syringes, but not medicine cups or basins, during a procedure. All medications and solutions should be labeled to prevent medication errors, including those in syringes, medicine cups, and basins. Not labeling all items can lead to confusion and errors.
C. Use one client identifier for treatments, care, and services. Using at least two identifiers (e.g., name and date of birth) is recommended to ensure correct patient identification and reduce the risk of errors.
D. Perform a daily assessment of wounds using the Braden scale. The Braden scale is used for assessing pressure ulcer risk, not for daily wound assessment. While regular assessment of wounds is important, the Braden scale is not the correct tool for this purpose.

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A nurse is caring for a client who has just learned of her poor prognosis. The client asks the nurse to pray with her. Which of the following therapeutic responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

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