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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. The client who has heart failure and is incontinent of urine requires immediate attention as urinary incontinence can be indicative of fluid overload, a common complication in heart failure. Prompt assessment and intervention are necessary to prevent worsening of the client's condition.
B. Agitation in a client with COPD and dementia, while concerning, may not require immediate intervention unless it poses a risk to the client or others. It should be addressed as soon as possible, but it may not be the priority over the client with acute urinary incontinence.
C. Pain with ambulation in a client who had a hip arthroplasty 10 days ago is significant and requires attention, but it is not as urgent as addressing a potential fluid overload situation in the client with heart failure.
D. Constipation in a client who had a cerebrovascular accident 6 months ago is a chronic issue that may not require immediate intervention unless it is causing distress or complications.

A. Take furosemide each night at bedtime. B. Record daily weight. C. Adhere to 2 g low-sodium diet. D. Maintain bed rest for 1 week following discharge E. Restrict fluid intake to 2 L/day

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"}}

Explanation

Potential discharge instruction	Anticipated	Contraindicated
Take furosemide each night at bedtime.		✔
Record daily weight.	✔
Adhere to 2 g low-sodium diet.	✔
Maintain bed rest for 1 week following discharge		✔
Restrict fluid intake to 2 L/day		✔

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 long-term care facility has received change-of-shift report about four clients. Which of the following clients should the nurse attend to first?

Correct Answer is A

Explanation

The nurse is preparing the client for discharge. Exhibits For each potential discharge instruction, click to specify if the potential prescription is anticipated or contraindicated for the client.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"}}

Explanation

A nurse is preparing a client who has a small bowel obstruction for insertion of a nasogastric tube. Which of the following equipment should the nurse gather prior to the procedure?

A nurse is contributing to the discharge plans for four clients. The nurse should identify that which of the following clients requires an interdisciplinary care conference?

A nurse is reviewing the laboratory results for a client who is at 32 weeks of gestation. For which of the following results should the nurse notify the provider?

A nurse is reinforcing discharge teaching with the guardian of a client who is neutropenic. Which of the following instructions should the nurse include?

A nurse is observing an assistive personnel (AP) apply antiembolic stockings for a client. The nurse should identify that which of the following actions by the AP indicates an understanding of the procedure?

A nurse is assisting with the care of an adolescent who is scheduled for surgery. Which of the following actions should the nurse plan to take?

A nurse is collecting data from a client who has substance use disorder and reports recently taking opioids. Which of the following findings should the nurse identify as a manifestation of opioid intoxication?

A nurse is reinforcing teaching with a client about caring for a new colostomy. Which of the following statements should the nurse make?