The nurse approaches a client who looks very sad and is sitting alone crying. Which is the best response by the nurse in this situation?

I'm sorry you are sad. Is there anything I can do to help you feel better?"

"Pipe don't cry. It will get better."

"You look very sad. What is happening?"

"know you are upset but things will look better tomorrow

Answer and Explanation

The Correct Answer is C

Option C demonstrates empathy and active listening. By acknowledging the client's emotions and expressing concern, the nurse creates a safe and supportive environment for the client to share their feelings. This response encourages the client to open up and express what they are going through, allowing the nurse to better understand the situation and provide appropriate care and support.

Options A and D are also empathetic but may not prompt the client to share their feelings or concerns as effectively as Option C.

Option B is not appropriate as it minimizes the client's emotions and may discourage them from expressing their feelings further.

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Correct Answer is ["2"]

Explanation

To calculate the amount of naloxone to administer, you can use the following formula:

Amount to administer (mL) = Total dose required (mg) / Concentration of drug (mg/mL)

Given:

Total dose required = 0.4 mg

Concentration of drug = 0.2 mg/mL

Let's calculate the amount to administer:

Amount to administer (mL) = 0.4 mg / 0.2 mg/mL

Now, perform the calculation:

Amount to administer (mL) = 2 mL

So, the nurse should administer 2 mL of naloxone intravenously as a bolus dose to the client.

A. "Do you have enough money to pay for your care today? B. "Do you feel safe in your home?" C. "Do you take Illegal street drugs? D. Do you obtain regular medical care?

Correct Answer is B

Explanation

Explanation: The priority question the nurse should ask the client during the initial assessment is whether they feel safe in their home (Option B). This question is essential because it addresses the client's safety and well-being, particularly regarding the possibility of domestic violence or intimate partner violence.

Assessing for safety is a critical component of the initial assessment, especially for female clients, as they may be at higher risk for experiencing domestic violence or abuse. By asking about the client's safety in their home, the nurse can identify potential issues related to violence or unsafe living conditions and take appropriate actions to ensure the client's safety.

Options A, C, and D are also important assessment questions, but they are not the priority in this scenario:

A. "Do you have enough money to pay for your care today?" - This is an important question regarding the client's financial situation and ability to access healthcare. However, safety and well-being take precedence over financial concerns in the initial assessment.

C. "Do you take illegal street drugs?" - This question is crucial for assessing the client's substance use and potential risk factors related to drug use. However, the safety question (Option B) is more immediate and directly addresses the client's well-being.

D. "Do you obtain regular medical care?" - This question is vital for assessing the client's healthcare needs and access to healthcare services. However, the safety question (Option B) should be addressed first to ensure the client's immediate safety and well-being.

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The nurse approaches a client who looks very sad and is sitting alone crying. Which is the best response by the nurse in this situation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["2"]

Explanation

The nurse working in an outpatient clinic is performing an intake assessment for a female client. Which priority question will the nurse ask the client as part of the initial assessment?

Correct Answer is B

Explanation

The nurse is meeting with a client who is experiencing complicated grieving from the death of their child to suicide. In order to establish a therapeutic nurse-client relationship, what will the nurse do prior to the meeting?

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A nurse is completing a client's history and physical examination. Which of the following information should the nurse consider subjective data?

A client has just had an elective abortion to end an unintended pregnancy. Afterward, the client cries because although they wanted to have children in future years, this pregnancy was not well timed. Which type of grief is this client most likely to experience?