A nurse is caring for a client who states, "I am too embarrassed to tell anyone what I did last night." Which of the following responses should the nurse make?

"Let's discuss what you feel embarrassed about."

"Lots of people feel ashamed to tell their secrets."

"You will feel better if you tell me what you did last night."

"You shouldn't feel embarrassed to talk to me."

Answer and Explanation

The Correct Answer is A

This response demonstrates empathy and respect for the client's feelings, and encourages the client to explore and express his or her emotions. It also allows the nurse to assess the client's situation and provide appropriate support and interventions.

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Correct Answer is C

Explanation

A client who has moderate-stage Alzheimer's disease may experience confusion, memory loss, wandering, agitation, and impaired judgment. Placing this client closest to the nurse's station can facilitate close observation and intervention, as well as reduce environmental stimuli that may trigger anxiety or disorientation.

A. Oxygen saturation B. Blood pressure C. Pupil response D. Bowel sounds

Correct Answer is B

Explanation

Phenelzine is a monoamine oxidase inhibitor (MAOI) that can cause a hypertensive crisis if taken with foods that contain tyramine, such as pepperoni pizza. The nurse should assess the client's blood pressure to monitor for signs of hypertension, such as headache, chest pain, or blurred vision.

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A nurse is caring for a client who states, "I am too embarrassed to tell anyone what I did last night." Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is making room assignments for new client admissions. Which of the following clients should the nurse place closest to the nurse's station?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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