A nurse is caring for an adult client who has acute lymphocytic leukemia. The client is refusing blood products. Which of the following responses should the nurse make?
"Not receiving blood will slow down your recovery."
"I understand that you decided not to receive blood products."
"You need to talk with your doctor about this."
"Why are you refusing to receive blood products?"
The Correct Answer is B
Rationale:
A. This response is judgmental and may cause the client to feel guilty or defensive.
B. This response shows empathy and respect for the client's decision.
C. This response may be appropriate if the client needs further information or counseling but should not be the initial response.
D. This response is confrontational and may cause the client to become defensive.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Creating advance directives to donate organs is not a primary purpose of advance directives.
B. Naming a sibling as a designee in a durable power of attorney for health care is a valid choice for appointing a healthcare proxy.
C. Advance directives do not require approval from an attorney.
D. A family member does not need to witness the client's signature on a living will.
Correct Answer is C
Explanation
Rationale:
A. Telling the client that it is safe to touch her ostomy may not address the client's concerns or fears.
B. Requesting that someone from the client's family participate in the care may not address the client's concerns or fears.
C. Asking the client to explain her feelings allows the nurse to understand the client's concerns or fears and address them appropriately.
D. Explaining why her participation is important may not address the client's concerns or fears.
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