A nurse is caring for a client who was recently admitted to an inpatient mental health unit. The client tells the nurse that he is not coming out of his room anymore because other clients on the unit make fun of him. Which of the following responses by the nurse is appropriate?

"I think you should just ignore the others."

"You feel upset by the responses of others."

"Let's keep the focus of our discussion on your needs."

"Everything will get better once you get to know everyone."

Answer and Explanation

The Correct Answer is B

A.   Telling the client to ignore others minimizes their feelings and does not address the underlying issue of bullying or social discomfort.
B.   Validating the client's feelings acknowledges their emotions and demonstrates empathy, which can help build trust and rapport with the client.
C.   While it's important to address the client's needs, dismissing their concerns about social interactions may contribute to feelings of isolation and neglect.
D.   Offering reassurance without addressing the client's current distress may invalidate their feelings and overlook the need for support and intervention in the present moment.

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Correct Answer is B

Explanation

A. Incorrect. The contraceptive effect of a combination contraceptive transdermal patch does not continue for 6 months following discontinuation. Fertility typically returns soon after stopping the patch.
B. Correct. When starting a combination contraceptive transdermal patch, it is usually recommended to apply the first patch on the first day of the menstrual cycle or on the Sunday after the menstrual cycle starts. If applying it on the Sunday, the client should start on the seventh day of the menstrual cycle.
C. Incorrect. The patch should be applied to clean, dry, intact skin on the buttocks, abdomen, upper outer arm, or upper torso, but not specifically to the lower abdomen.
D. Incorrect. While headaches are a possible side effect of combination contraceptive methods, they are not universally experienced by all users, and they may occur at any point during use, not just during the first month.

A. "You have the right to refuse the recommended treatment plan." B. "I will have to tell your provider right away that you are considering this." C. "You have to consider the medical consequences of not treating this cancer." D. "In cases like yours, it is best to talk with your clergyperson before deciding this."

Correct Answer is A

Explanation

A. This response respects the client's autonomy and right to make decisions about their own healthcare. It acknowledges the client's right to refuse treatment, even if it is recommended by healthcare providers.
B. While it is important to communicate the client's wishes to the healthcare provider, the nurse should not threaten to report the client's decision without their consent. This could undermine trust between the nurse and the client.
C. While it is true that refusing treatment may have medical consequences, this statement may come across as judgmental or coercive. The nurse should provide information about the potential consequences of refusing treatment in a supportive and non-coercive manner.
D. Suggesting that the client consult with a clergyperson before making a treatment decision is not necessarily relevant to the client's medical decision-making process. It may also imply that the decision should be based on religious beliefs rather than personal values and preferences.

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A nurse is caring for a client who was recently admitted to an inpatient mental health unit. The client tells the nurse that he is not coming out of his room anymore because other clients on the unit make fun of him. Which of the following responses by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is reinforcing teaching with a client who has a new prescription for a combination contraceptive transdermal patch. Which of the following should the nurse include in the teaching?

Correct Answer is B

Explanation

A client who has inoperable cancer tells the nurse that she does not want to pursue the recommended treatment. She asks if the provider can force her to have the treatment. Which of the following is an appropriate response by the nurse?

Correct Answer is A

Explanation

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