A nurse is speaking with the sibling of a client who refuses to see visitors.
Which of the following actions should the nurse take?
Arrange for the sibling to visit the client in the dayroom.
Refer the sibling to the client's provider.
Tell the sibling the client does not want visitors.
Encourage the client to visit with the sibling.
The Correct Answer is C
Choice A rationale
Arranging a visit without the client’s consent disregards their right to refuse visitors, which is important to respect their autonomy.
Choice B rationale
Referring the sibling to the provider does not address the client’s current refusal and bypasses the nurse’s role in facilitating communication.
Choice C rationale
Informing the sibling that the client does not want visitors respects the client’s wishes and maintains their confidentiality.
Choice D rationale
Encouraging the client to visit with the sibling may pressure the client and does not respect their current refusal of visitors. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale
Being currently married is generally considered a protective factor against suicide, as supportive relationships can provide emotional stability and reduce the risk of suicidal behavior.
Choice B rationale
Access to guns in the home is a significant risk factor for suicide, as it increases the likelihood of a person using a firearm to attempt suicide, resulting in higher lethality.
Choice C rationale
Having terminal liver cancer is a risk factor for suicide due to the emotional and physical distress associated with a terminal illness, including pain, loss of autonomy, and fear of suffering.
Choice D rationale
Alcohol use disorder is a risk factor for suicide because substance abuse can exacerbate mental health issues, impair judgment, and increase impulsivity, leading to a higher risk of suicidal behavior.
Correct Answer is B
Explanation
Choice A rationale
Forming a close support network is important in recovery, but it is not the first step. Initial recognition and acceptance of the problem must come first before external support can be effectively utilized.
Choice B rationale
Acknowledging an inability to control drinking is crucial as it represents acceptance of the problem. Without this self-awareness, the individual is unlikely to seek or benefit from treatment options.
Choice C rationale
Incorporating spirituality can be beneficial for some individuals during recovery, providing a sense of purpose and community. However, it is not the initial step. Recognition of the problem must precede other interventions.
Choice D rationale
Agreeing to a prescription for an alcohol use deterrent can be part of the treatment plan. However, the individual must first recognize and accept their inability to control drinking to commit to taking medications as prescribed.
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