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."
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 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.
Correct Answer is C
Explanation
A. Inserting an indwelling urinary catheter requires specialized training and should only be performed by licensed personnel.
B. Taking an order over the telephone from a physician requires nursing judgment and should not be delegated to unlicensed personnel.
C. Bathing a combative client can be safely delegated to unlicensed assistive personnel (UAP) as it does not require specialized nursing knowledge.
D. Assessing a client's wound requires nursing assessment skills and should not be delegated to unlicensed personnel.
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