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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Autonomy: Respecting a client’s right to make their own decisions, including the refusal of a protein and calorie supplement, demonstrates the ethical principle of autonomy.
B. Fidelity: Fidelity involves being faithful to commitments and responsibilities, but this scenario focuses on the client’s decision-making rights rather than the nurse’s loyalty.
C. Veracity: Veracity refers to truth-telling, which is not directly related to the client refusing the supplement.
D. Beneficence: Beneficence involves acting in the client’s best interest, but forcing treatment would conflict with respecting autonomy.
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.
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