A nurse is preparing for a home visit with a client whose partner recently died by suicide. Which of the following actions should the nurse take first when preparing to provide client-centered care?

Review the client's history.

Read the client's progress notes.

Review current provider prescript

Perform self-reflection.

Answer and Explanation

The Correct Answer is D

Rationale:

A. Reviewing the client's history and reading progress notes are important for understanding the client's situation but are secondary to ensuring the nurse's readiness.

B. Reviewing current provider prescriptions is relevant but does not address the immediate need for self-preparation.

C. Performing self-reflection is essential to ensure that the nurse is emotionally prepared and empathetic, which is crucial when dealing with clients experiencing significant grief.

D. Performing self-reflection is the most critical first step as it ensures the nurse is emotionally prepared and able to provide empathetic and non-judgmental support to the client during a difficult time.

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Correct Answer is C

Explanation

Rationale:

A. Reporting the incident to other RNs on the shift does not ensure that the appropriate actions will be taken to address the issue.

B. Agreeing not to report the incident in exchange for the coworker seeking treatment is unethical and does not follow the correct reporting protocol.

C. Reporting the incident to the appropriate person in the chain of communication, such as a supervisor or nurse manager, is the correct course of action. This ensures that the situation is handled according to hospital policy and legal requirements, protecting patient safety and addressing the coworker's substance use disorder.

D. Agreeing not to report the incident if the coworker promises to report themselves is also unethical and fails to meet professional responsibilities.

A. A. A room with another nonsurgical client B. A room with air exhaust directly to the outdoor environment C. A room in the ICU D. A room that is within view of the nurses' station

Correct Answer is B

Explanation

Rationale:

A. Placing a client with active tuberculosis in a room with another client increases the risk of airborne transmission of the infection, which is inappropriate for infection control.

B. A room with air exhaust directly to the outdoor environment is ideal for a client with active tuberculosis because it provides negative pressure, helping to contain and prevent the spread of the infectious airborne particles.

C. The ICU is typically reserved for critically ill patients requiring intensive monitoring and care, and it may not provide the necessary infection control measures for TB.

D. A room near the nurses' station would not ensure the negative pressure ventilation needed to prevent airborne transmission of tuberculosis.

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A nurse is preparing for a home visit with a client whose partner recently died by suicide. Which of the following actions should the nurse take first when preparing to provide client-centered care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

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