A nurse is trying to encourage a client with paraplegia who is depressed and not adhering to the treatment program to join a support group. Which statement by the nurse is most appropriate?

"What do you know about support groups?"

“I am sure you would feel better if you joined a support group."

"Support groups are for people like you who are depressed."

“I am going to sign you up for a support group."

Answer and Explanation

The Correct Answer is A

A. Asking the client what they know about support groups is open-ended and encourages discussion.
B. This statement is presumptive and may not be true for all clients.
C. This statement is stigmatizing and may be perceived as judgmental.
D. This statement takes away the client's autonomy and may lead to resistance.

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Correct Answer is ["A","B","C"]

Explanation

A. Bathing a client who had an amputation 2 days ago can be safely delegated to assistive personnel (AP) as it does not require specialized nursing knowledge.
B. Assisting a client to ambulate using a gait belt is within the scope of practice for assistive personnel (AP) and helps promote mobility.
C. Feeding a client who had a stroke 3 months ago can be delegated to assistive personnel (AP) as it involves activities of daily living.
D. Reviewing a low-sodium diet for a client with hypertension requires nursing judgment and should not be delegated to assistive personnel (AP).
E. Explaining oral hygiene to a client receiving chemotherapy requires nursing knowledge and should not be delegated to assistive personnel (AP).

A. The nurse administers the wrong medication to a client, who then has one episode of vomiting 5 minutes later but no further adverse reactions. B. The nurse applies an ice pack to a client's lower back without an order and the client feels better. C. The nurse, using proper body mechanics, assists a client into a locked bed. The client slips and breaks a femur. D. The nurse administers amoxicillin to a client with known allergies to penicillin. The client has a seizure with resulting respiratory arrest.

Correct Answer is D

Explanation

A. While this is an error, it did not result in a serious or lasting harm.
B. This action, though without an order, resulted in a positive outcome.
C. This incident was an accident despite the nurse's proper body mechanics and safety measures.
D. Administering a medication to which the client is known to be allergic, resulting in a seizure and respiratory arrest, constitutes a serious breach of standard care and demonstrates malpractice.

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A nurse is trying to encourage a client with paraplegia who is depressed and not adhering to the treatment program to join a support group. Which statement by the nurse is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is making client care assignments. Which of the following tasks should the nurse delegate to assistive personnel (AP)? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

Which best exemplifies malpractice?

Correct Answer is D

Explanation

Which nursing activity reflects secondary prevention?

A nurse in a long-term care facility is planning care for several clients. Which of the foll wing activities should the nurse delegate to the licensed practical nurse (LPN)?

A nurse checks with assistive personnel on the unit throughout the shift to determine if they are completing tasks. The nurse is demonstrating which of the following rights of delegation?

A nurse is caring for a client who states, "I have got to get out of this hospital! They have found my address and are coming for my family!" The nurse responds, "Don't worry, no one will harm your family." Which of the following types of communication breakdown does this response represent?

A client refuses to have pain medication administered by injection. The nurse states, "If you don't let me give you the shot, I will get help to hold you down and give it." What tort may the nurse be committing?

A nurse is caring for a client who has a mental health disorder. The client asks about his medications and their effects. The nurse asks the client why he needs to know this. Which of the following nontherapeutic communication techniques is the nurse using?