The nurse is admitting a client to the hospital. The client states, "Hospitals make me anxious ever since my last visit. Which of the following would be the most appropriate response by the nurse?
"Are you usually anxious about unknown situations?"
"Do you have any questions about this admission?"
"Are you here for the same reason?"
"Can you tell me more about that experience?"
The Correct Answer is D
A. "Are you usually anxious about unknown situations?" This question may help understand the client's general anxiety but does not directly address the specific concern related to their current hospital admission.
B. "Do you have any questions about this admission?" This response is practical and offers the client an opportunity to clarify any doubts about the current admission, which might help reduce anxiety.
C. "Are you here for the same reason?" This question is specific to the reason for the admission but may not fully address the anxiety related to the hospital environment.
D. "Can you tell me more about that experience?" This response encourages the client to discuss their previous negative experience, which can help in understanding their anxiety and providing targeted support.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "I will try to make myself useful while I am in their home." This statement reflects a positive attitude and willingness to contribute, which does not require immediate follow-up.
B. "My adult child has been preparing my grandchildren for my arrival." This statement indicates that preparations are being made, which is generally a good sign and does not require immediate follow-up.
C. "I will miss my home that I lived in for so long." This statement requires immediate follow-up because it may indicate emotional distress or difficulty adjusting to the new living situation. The nurse should assess the client’s feelings and provide support to help them cope with the transition.
D. "My other adult child is willing to help me too." This statement is positive and indicates additional support, which is generally reassuring and does not require immediate follow-up.
Correct Answer is A
Explanation
A. Ask the patient to try to stand up independently to assess the patient's strength first. This action is inappropriate as it may put the patient at risk of falling or injury. The patient should be assisted rather than asked to stand independently.
B. Remind the patient to look up to ensure good positioning when standing up. This is a correct action. Looking up helps the patient maintain better posture and balance when standing.
C. Allow the patient to dangle at the edge of the bed before standing to assess for feelings of dizziness. This is appropriate as it helps to identify any dizziness or orthostatic hypotension before the patient attempts to stand.
D. Assess the patient for any numbness or tingling in the extremities. This is also appropriate as it helps to identify any neurological issues that could affect the patient's ability to stand and transfer safely.
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