A nurse is caring for a client who repeatedly refuses meals. The nurse overhears an assistive personnel (AP) telling the client, "If you don't eat, I'll put restraints on your wrists and feed you." The nurse should intervene and explain to the AP that this statement constitutes which of the following torts?

Negligence

Battery

Malpractice

Assault

Answer and Explanation

The Correct Answer is D

A.   Negligence involves a failure to provide reasonable care, but it does not apply here since the AP’s
actions were intentional.
B.   Battery is the intentional and harmful physical contact with another person without their consent. In the context of healthcare, this could involve actions like physically restraining a patient without consent, administering medication without consent, or any physical contact that is deemed offensive and unwarranted.
C.   Malpractice refers to professional negligence by a healthcare provider, which is not the case here.
D.   Assault occurs when there is an intentional act that creates a fear of imminent harmful or offensive contact with another person, even if no actual physical contact occurs. In this case, the AP's statement, "If you don't eat, I'll put restraints on your wrists and feed you," is a verbal threat of harm.

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Correct Answer is A

Explanation

A. Providing humidification can help alleviate dry mouth by increasing moisture in the air, which is beneficial for the client experiencing xerostomia.
B. Alcohol-based mouthwash can exacerbate dry mouth and should be avoided.
C. Esophageal speech is typically used for clients who have had laryngectomy, not for those with xerostomia.
D. Saltine crackers are dry and could worsen xerostomia by further drying the mouth. Hydration and saliva substitutes are more appropriate.

A. "How long have you been hearing the voices?" B. "I realize the voices are real to you, but I don't hear anything." C. "What are the voices telling you?" D. "Have you taken your medication today?"

Correct Answer is C

Explanation

A. While it is important to assess the duration of symptoms, it is more important to understand the content and context of the voices to determine potential risks.
B. Acknowledging that the voices are real to the client, while not hearing them, shows empathy and avoids invalidating the client's experience.
C. Understanding what the voices are saying helps assess the potential for harm and allows for appropriate intervention.
D. While checking on medication adherence is important, it does not address the immediate concern of what the voices may be telling the client.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports xerostomia following radiation therapy to the mandible. Which of the following is an appropriate action by the nurse?

Correct Answer is A

Explanation

A nurse is admitting a client who has schizophrenia. The client states, "I'm hearing voices." Which of the following responses is the priority for the nurse to state?

Correct Answer is C

Explanation

A nurse is caring for a client who has an indwelling urinary catheter. The nurse notes that sediment is present in the urine. Which of the following actions should the nurse take to obtain a sterile urine specimen?

A nurse in a PACU is transferring care of a client to a nurse on the medical-surgical unit. Which of the following statements should the nurse include in the hand-off report?

A nurse is teaching a client who has a new diagnosis of diabetes mellitus about foot care. Which of the following instructions should the nurse include in the teaching?

The nurse reviews the entries in the medical record. The nurse is ready to begin the blood transfusion. For each potential nursing action, click to specify if the action is indicated or not indicated for the client.

Complete the following sentence by using the lists of options. The nurse anticipates the client will likely require dropdownas evidenced by the client's dropdown

A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis. The nurse should monitor the client for which of the following complications?

A nurse is reviewing the medical record of a male client who has schizophrenia and is taking clozapine. Which of the following findings should the nurse identify as a contraindication to the administration of clozapine?

A nurse is caring for a client who is in a coma and is scheduled for a surgical procedure. Which of the following actions should the nurse take?