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?"

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. "DNR prevents resuscitation while AND allows for feeding tubes only." This is incorrect as the Allow Natural Death (AND) order does not specifically address feeding tubes; it focuses on allowing natural death without aggressive life-sustaining interventions.

B. "Both orders require healthcare professionals do everything possible to save the patient." This is incorrect because both DNR and AND orders are intended to prevent certain resuscitation efforts. The goal of both is to limit or avoid aggressive interventions, though AND is more focused on allowing natural death with comfort care.

C. "Both orders prevent resuscitation; however, AND is more perceived to be more helpful." Both DNR and AND orders prevent resuscitation efforts, but AND is often perceived as a more comprehensive approach to end-of-life care, focusing on comfort and allowing a natural death.

D. "DNR allows mechanical ventilation while AND prevents all resuscitation efforts." This is incorrect because a DNR order specifically addresses not performing CPR, but it does not necessarily prevent other forms of life support such as mechanical ventilation. AND is a broader term that generally aims to limit all forms of aggressive treatment, including mechanical ventilation.

A. The client with breast cancer who had a mastectomy. B. The client with chronic obstructive pulmonary disease who requires oxygen therapy. C. The client with colon cancer who has a colostomy. D. The client with a left upper arm fracture who was a victim of a crime.

Correct Answer is D

Explanation

A. The client with breast cancer who had a mastectomy. This client is facing a significant life change and physical alteration that may lead to psychosocial stressors such as body image issues and emotional distress.

B. The client with chronic obstructive pulmonary disease who requires oxygen therapy. Although this condition is challenging, the primary stressors are often physical and related to the management of the disease rather than psychosocial stressors.

C. The client with colon cancer who has a colostomy. A colostomy can affect body image and self-esteem, potentially leading to psychosocial stressors such as anxiety or social isolation.

D. The client with a left upper arm fracture who was a victim of a crime. The fracture and the trauma of being a crime victim are significant psychosocial stressors. The emotional and psychological impact of the crime can affect the client’s overall mental health.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is discussing the difference between a Do Not Resuscitate (DNR) order and a Allow Natural Death (AND) order to a patient with a terminal illness. Which of the following correctly explains the difference of these two orders?

Correct Answer is C

Explanation

The nurse is assessing a group of clients for psychosocial stressors. Which of the following client's should the nurse identify as having this type of stressor?

Correct Answer is D

Explanation

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