A nurse is caring for a hospitalized client who is experiencing sensory overload due to the hospital environment. Which of the following actions should the nurse take?

Encourage visitors throughout the day.

Provide the client with earplugs.

Spread client care activities throughout the shift.

Keep the door to the client's room open.

Answer and Explanation

The Correct Answer is B

A. Encourage visitors throughout the day: Increased visitor interactions may worsen sensory overload by adding more stimuli.

B. Provide the client with earplugs. Earplugs help reduce environmental noise and sensory input, addressing the client's sensory overload and promoting rest and comfort.

C. Spread client care activities throughout the shift: Consolidating care activities, rather than spreading them out, minimizes interruptions and helps reduce sensory input.

D. Keep the door to the client's room open: Keeping the door open can increase noise and stimuli, exacerbating sensory overload.

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Correct Answer is C

Explanation

A. "I will review my actions at the end of the day in the team huddle.": While team reflection is valuable, addressing personal biases requires individual introspection beyond group discussions.

B. "I should treat all patients the same way to avoid favoritism and ensure fairness.": Treating all patients identically may overlook individual needs and perpetuate bias by failing to address unique vulnerabilities.

C. "I will reflect on my responses and thoughts when meeting new clients." Self-reflection is a key strategy for identifying and addressing personal biases, ensuring that care is equitable and patient-centered.

D. "I believe that my professional training is sufficient, so personal biases will not affect my care.": Professional training does not automatically eliminate personal biases. Active reflection is necessary.

A. Assess the client's ability to perform activities of daily living (ADLs) and their impact on the client's overall health. B. Review the client's current medication list and check for any missed doses. C. Focus on the client's most recent laboratory results and compare them to past results. D. Conduct a detailed family history to identify any genetic predispositions to the chronic illness.

Correct Answer is A

Explanation

A. Assess the client's ability to perform activities of daily living (ADLs) and their impact on the client's overall health. ADL assessment provides crucial information about how well the client is managing their chronic illness and maintaining functional independence.

B. Review the client's current medication list and check for any missed doses. While this is important, it is a secondary concern compared to assessing functional status, which has a broader impact on health outcomes.

C. Focus on the client's most recent laboratory results and compare them to past results. Lab results are valuable but do not provide a comprehensive view of how the illness affects the client's daily life.

D. Conduct a detailed family history to identify any genetic predispositions to the chronic illness. Genetic predispositions are relevant for diagnosis and prevention but do not evaluate current management of the condition.

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A nurse is caring for a hospitalized client who is experiencing sensory overload due to the hospital environment. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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