A nurse is completing a preoperative checklist for a client. The client tells the nurse. "I am not sure if I want the procedure after all." Which of the following responses should the nurse make?
"Why are you changing your mind about the procedure?"
"This procedure is perfectly safe."
"I will contact the provider to let her know."
"You should discuss your concerns with your family!"
The Correct Answer is C
A. "Why are you changing your mind about the procedure?" This question may come across as confrontational or judgmental. It does not directly address the client’s need for information or support.
B. "This procedure is perfectly safe." This response is dismissive and provides false reassurance. The nurse should avoid minimizing the client's concerns.
C. "I will contact the provider to let her know." When a client expresses uncertainty about undergoing a procedure, the nurse's priority is to notify the provider. The provider is responsible for addressing the client’s concerns, clarifying the procedure, and ensuring informed consent. The client's autonomy must be respected, and they have the right to withdraw consent at any time.
D. "You should discuss your concerns with your family!" While family support can be helpful, the decision to proceed or not is ultimately between the client and the provider. Directing the client to the family may undermine their autonomy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Verbalize the letters "B-I-D" for the dosing instead of saying "twice per day.": This is unnecessary and may cause confusion. "Twice per day" is clear and less prone to misinterpretation during verbal communication.
B. Verify the medication name along with its intended purpose: This is a critical safety measure to ensure that the prescribed medication is appropriate for the client and to prevent errors related to look-alike or sound-alike drug names.
C. Remind the provider to countersign the prescription in 72 hr: This is essential to meet legal and institutional requirements, but it is not the most immediate priority when confirming the prescription.
D. Transcribe the medication name using the trade name: Using generic names is preferable in healthcare documentation to avoid confusion caused by multiple trade names for the same medication.
Correct Answer is B
Explanation
A. Perform a specific nursing task for a group of clients: This approach aligns more with functional nursing, not total patient care.
B. Provide complete care for a caseload of clients: In total patient care, the nurse is responsible for all aspects of care for a specific group of clients during their shift.
C. Receive cross-training in multiple departments: Cross-training is related to float pool or department-specific training, not the care delivery method.
D. Delegate low-skilled tasks to assistive personnel: While delegation may occasionally occur, the focus in total patient care is on the nurse providing direct care.
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