A nurse is caring for a client who is recovering from a cerebrovascular accident in a rehabilitation facility. The client tells the nurse, "I am sick of being in here, and I want to go home." Which of the following responses should the nurse make?

"It would be best to discuss your feelings with your provider."

"It must be very frustrating for you to be here."

"You are making progress in your treatment plan."

"You should call your partner to discuss this."

Answer and Explanation

The Correct Answer is B

A.   This response deflects the client's feelings and does not acknowledge the client's frustration.
B.   This response acknowledges the client's feelings of frustration and validates their experience, showing empathy and understanding.
C.   While it is important to encourage the client's progress, this response does not directly address the client's expressed emotions.
D.   Suggesting that the client call their partner may not address the underlying feelings of frustration and may overlook the opportunity for therapeutic communication.

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Correct Answer is B

Explanation

A. While revising the current policy for catheter care may be necessary, it is not the first step in addressing the increase in infections. Understanding the factors contributing to the infections is crucial before policy revision.
B. Identifying possible precipitating factors related to the infections is the first step in addressing the issue. This involves investigating the circumstances surrounding the infections to determine potential causes and contributing factors.
C. While staff training is important, scheduling training before understanding the root cause of the infections may not effectively address the problem.
D. Meeting with providers to discuss measures to decrease infections may be necessary, but it should occur after identifying the precipitating factors to ensure targeted and effective interventions.

A. Have the client's child translate. B. Allow the client's partner to translate. C. Request a female interpreter through the facility. D. Ask a nursing student who speaks the same language as the client to translate.

Correct Answer is C

Explanation

A. Using a child as an interpreter can be inappropriate and may not ensure accurate communication, especially for sensitive topics such as medical history and symptoms.
B. While involving the client's partner may seem helpful, it may not ensure accurate translation, and the partner may not be proficient in medical terminology.
C. Requesting a female interpreter through the facility ensures accurate and confidential communication while respecting the client's cultural preferences and privacy.
D. While asking a nursing student who speaks the same language as the client may seem convenient, it may not ensure accurate translation, and the student may not have the necessary training in medical interpretation.

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A nurse is caring for a client who is recovering from a cerebrovascular accident in a rehabilitation facility. The client tells the nurse, "I am sick of being in here, and I want to go home." Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is concerned about a recent increase in facility-acquired catheter Infections. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

Correct Answer is C

Explanation

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