A nurse tells a client to expect medication administration to take 20 minutes.
What is the purpose of sharing the estimated time with the client?
To reduce the need for informed consent.
To guarantee the interaction will be completed in 20 minutes.
To demonstrate respect for the client.
To reduce the nurse's workload by limiting client interaction.
The Correct Answer is C
Choice A rationale
Informed consent is a legal and ethical requirement for many medical procedures and cannot be bypassed by simply providing a timeline for care. Sharing the expected duration of a task like medication administration does not negate the necessity of explaining the purpose, risks, and benefits of the medication. Consent remains a fundamental right of the client, ensuring they are active participants in their healthcare decisions regardless of how long the interaction is expected to take.
Choice B rationale
While setting a time frame provides an estimate, it cannot serve as a clinical guarantee because patient care is dynamic. Unexpected complications, client questions, or adverse reactions may occur during the administration process, requiring more than the allotted twenty minutes. Professional nursing practice prioritizes safety and thoroughness over strict adherence to a pre-set schedule. Offering a time estimate is a tool for communication and expectation management rather than a binding contract for the duration of the clinical encounter.
Choice C rationale
Providing a time estimate is a professional courtesy that acknowledges the client has their own schedule and autonomy. It demonstrates respect for the individual by allowing them to prepare for the interaction and manage their day within the hospital setting. This transparency fosters a collaborative environment and helps build trust within the therapeutic relationship. When a nurse values the client's time, it reinforces the client's dignity and promotes a person-centered approach to nursing care and communication.
Choice D rationale
Limiting client interaction to reduce a nurse's workload is contrary to the principles of holistic nursing and therapeutic communication. The goal of sharing a time frame is to enhance the quality of the interaction, not to truncate it for the nurse's convenience. Efficient workload management should never come at the expense of necessary patient support or education. Reducing interaction time solely to manage a heavy assignment can lead to missed clinical cues and a decrease in the overall quality of care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
The recommendation component of the ISBAR tool is clearly present in the transcribed phone call. The caller explicitly states, "I recommend starting antibiotics," which provides a clear path of action for the provider to consider. This part of the communication is essential for ensuring that the healthcare team has a suggested plan to address the clinical problem identified during the assessment and background phases of the handoff or update.
Choice B rationale
Background information is provided in the call when the speaker mentions that the patient was admitted for a urinary tract infection. This context helps the receiver understand the underlying clinical condition that may be causing the current symptoms. Knowing the reason for admission allows the physician to connect the new fever to the existing infection or consider if a secondary complication is developing during the hospital stay.
Choice C rationale
The assessment portion of the ISBAR is represented by the mention of the fever of 102 F since this morning. This is a clinical finding that describes the current status of the patient based on objective data. Identifying the change in the patient's condition is vital for prioritizing the urgency of the intervention and helps the provider determine the severity of the inflammatory or infectious process currently affecting the client.
Choice D rationale
Identity is missing because the caller failed to identify themselves, their role, or the specific unit from which they are calling. In a professional ISBAR communication, the speaker must start by stating their name and relationship to the patient. Without this identification, the receiver does not know who is responsible for the patient's care or whom to contact for follow-up questions, which can compromise patient safety and professional accountability.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A rationale
Redirecting goals to reduce unrealistic expectations is an effective cognitive-behavioral strategy for stress management. By aligning goals with reality, the individual reduces the constant activation of the sympathetic nervous system caused by a perceived gap between current status and unattainable objectives. This modification of cognitive appraisal helps lower cortisol levels and decreases the chronic stress response. It empowers middle-aged clients to focus on achievable tasks, thereby increasing their sense of self-efficacy and overall emotional stability.
Choice B rationale
Scheduling short breaks throughout the day allows for periodic activation of the parasympathetic nervous system, which counteracts the fight-or-flight response. These micro-rest periods help lower heart rate and blood pressure, preventing the cumulative physiological effects of sustained stress. For middle-aged adults balancing complex professional and personal roles, these breaks serve as a necessary reset. This practice promotes long-term resilience by ensuring that the body is not in a constant state of high physiological arousal.
Choice C rationale
Guided imagery is a relaxation technique that uses the mind-body connection to reduce physiological stress. By focusing on peaceful, detailed mental images, the brain triggers a relaxation response that decreases oxygen consumption and slows respiratory rates. This technique is particularly useful for middle-aged clients as it can be practiced almost anywhere. It effectively disrupts the cycle of stressful thoughts, leading to a measurable reduction in muscle tension and an improvement in overall psychological well-being and focus.
Choice D rationale
Taking frequent naps instead of addressing stressors is considered a maladaptive avoidance coping mechanism rather than a healthy stress management technique. While rest is important, excessive napping can disrupt normal sleep-wake cycles, potentially leading to insomnia or depressed mood. Furthermore, avoidance does not resolve the underlying stressor, often leading to increased anxiety when the individual eventually faces the unresolved issue. Effective programs should focus on active problem-solving and relaxation rather than passive escape or avoidance behaviors.
Choice E rationale
Listening to soothing music has been scientifically shown to lower blood pressure and reduce levels of the stress hormone cortisol. Music with a slow tempo can induce the alpha brain waves associated with relaxation and calm. This intervention is a low-cost, accessible way for clients to manage their physiological responses to environmental stressors. It provides a positive sensory focus that can improve mood and decrease the perception of stress, making it a valuable tool in a stress management program.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.