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."
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Amniotic fluid color: While the color of amniotic fluid can provide important information about fetal well-being and possible complications, the priority immediately following an amniotomy is to assess the fetal heart rate to ensure fetal well-being and monitor for any signs of fetal distress.
B. The client's temperature: While maternal temperature should be monitored regularly during labor to detect signs of infection, it is not the priority immediately following an amniotomy. Fetal well-being takes precedence.
C. Frequency of contractions: Monitoring the frequency of contractions is important for assessing progress in labor and identifying any abnormalities, but it is not the priority immediately following an amniotomy. Fetal well-being should be assessed first.
D. Fetal heart rate: Following an amniotomy, the priority is to assess the fetal heart rate to ensure that the umbilical cord has not prolapsed and that the fetus is not experiencing distress due to changes in amniotic fluid volume or other factors related to the amniotomy. Monitoring fetal heart rate allows for early detection of any signs of fetal distress and prompt intervention if needed.
Correct Answer is C
Explanation
- A. Mustard often contains a high amount of sodium, which is not recommended for a client trying to limit sodium intake.
- B. Celery salt is primarily composed of salt and should be avoided when trying to reduce sodium consumption.
- C. Frozen juice bars are generally low in sodium, making them a suitable choice for dessert for someone with cardiomyopathy looking to limit sodium intake.
- D. Many vegetable juices are high in sodium, especially if they are canned or bottled, and should be limited in a low-sodium diet.
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