A nurse is collecting data from a client who reports an inability to cope because of their recent job loss. Which of the following actions should the nurse take?

Tell the client to think about something else.

Ask the client to describe their support system.

Ask the client why they're unable to cope.

Tell the client that everything will be okay.

Answer and Explanation

The Correct Answer is B

A)   Tell the client to think about something else. - This response dismisses the client's feelings and does not address the underlying issue of coping with job loss.
B)   Ask the client to describe their support system. - This action allows the nurse to assess the resources available to the client for coping with stress and provides an opportunity to explore potential sources of support.
C)   Ask the client why they're unable to cope. - While understanding the reasons behind the client's inability to cope is important, this question may come across as judgmental or dismissive of the client's feelings.

D)   Tell the client that everything will be okay. - While offering reassurance is important, it should be done in the context of acknowledging the client's feelings and exploring coping strategies.

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Correct Answer is B

Explanation

A) Obtain verbal consent from the client. - While obtaining verbal consent is important, for invasive procedures like catheter insertion, it's essential to have written, witnessed consent to ensure proper documentation and confirmation that the client is fully informed and agrees to the procedure.
B) Witness the client's signature on a consent form. - Express consent for medical procedures typically involves the client signing a consent form after being adequately informed about the procedure, its potential risks, benefits, and alternatives. Witnessing the client's signature on a consent form ensures that the client has provided informed consent for the specific procedure.
C) Check the medical record for the client's signature on a previous consent form. - Consent for procedures should ideally be obtained for each specific instance, especially for invasive procedures.
D) Have another nurse co-sign the client's consent. - Co-signing consent is not necessary for minor procedures like urinary catheter insertion; verbal consent from the client is sufficient.

A. "I will gently restrain him during seizures." B. "I will loosen his clothing during seizures." C. "I will insert a washcloth in his mouth during seizures." D. "I will turn him on his back during seizures."

Correct Answer is B

Explanation

A. "I will gently restrain him during seizures."- Restraint during seizures can cause injury and is not recommended.
B. "I will loosen his clothing during seizures."- Loosening tight clothing helps prevent injury and ensures adequate ventilation during a seizure.
C. "I will insert a washcloth in his mouth during seizures."- Inserting objects into the mouth during a seizure can cause injury or obstruct the airway.

D. "I will turn him on his back during seizures."- Placing the client on their back during a seizure can increase the risk of aspiration. The recovery position is preferred

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A nurse is collecting data from a client who reports an inability to cope because of their recent job loss. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to insert an indwelling urinary catheter and is verifying the client's express consent for this procedure. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is reinforcing teaching about seizure management with the family of a client who has a seizure disorder. Which of the following statements by a family member indicates an understanding of the teaching?

Correct Answer is B

Explanation

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