A nurse is caring for a client who tells the nurse that they feel like they are being discharged home too soon. Which of the following statements by the nurse demonstrates client advocacy?
“I know you will be able to recover faster at home."
“Why are you feeling anxious about going home?"
"Your provider is acting according to your best interests."
“I will tell the provider about your concerns."
The Correct Answer is D
A. This dismisses the client’s feelings and provides false reassurance instead of addressing the concern.
B. Asking “why” can sound confrontational and may discourage open communication.
C. This assumes the provider’s decision is best without considering the client’s perception, violating the nurse’s role as advocate.
D. Informing the provider of the client’s concerns demonstrates advocacy—the nurse supports the client’s right to participate in their care and ensures their voice is heard in discharge planning.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Using a lateral transfer device (e.g., slide board, mechanical transfer aid) decreases friction and reduces the risk of musculoskeletal injury to both client and staff. This is a fundamental ergonomic principle.
B. The nurse should move or transfer the client toward their stronger side to promote safety and stability, not the weaker side.
C. While pillows can be used for comfort and alignment, they are not part of ergonomic safety principles for lifting or transferring clients.
D. The head of the bed should be lowered (flat position) during lateral transfers to keep the client’s body aligned and prevent falls. Raising the head increases risk of sliding or strain.
Correct Answer is B
Explanation
A. Rhinitis is a mild, non-serious side effect of clozapine and does not require immediate reporting.
B. A sore throat can indicate agranulocytosis, a serious adverse effect of clozapine that involves a dangerously low white blood cell (WBC) count. Clients may also present with fever and malaise. This requires immediate notification and discontinuation of the medication.
C. Headache is a common but mild side effect of many psychotropic medications and does not signal a hematologic emergency.
D. Tinnitus is not typically associated with clozapine use.
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