The nurse is assisting with patient data collection in a clinic. The nurse is assigned to a young female patient who has an older male friend present at her bedside. The patient is nervous, timid, very thin, and with poor hygiene and lets the friend answer all of the nurse's questions. What actions should the nurse take?
Whisper to patient that she will be saved.
Confront the family friend to allow the patient to ask questions.
Consult the health care team about the suspicions and call local authorities to investigate.
Ask the patient if she feels safe, while the friend is in the room.
The Correct Answer is D
Explanation:
A. Whisper to the patient that she will be saved.
This action is inappropriate and does not address the underlying issues of the patient's condition or the presence of the family friend. Whispering such a statement may also be confusing or alarming to the patient.
B. Confront the family friend to allow the patient to ask questions.
While it's important to facilitate open communication with the patient, confronting the family friend directly may not be the most effective approach initially. It's crucial to first assess the patient's comfort level and safety before addressing the situation with the friend.
C. Consult the healthcare team about the suspicions and call local authorities to investigate.
Jumping to conclusions and involving authorities without gathering more information or assessing the patient's feelings directly could escalate the situation unnecessarily. It's important to handle such concerns with sensitivity and professionalism, involving appropriate resources only when needed.
D. Ask the patient if she feels safe, while the friend is in the room.
This is the most appropriate action initially. By directly asking the patient about her feelings of safety, the nurse can gauge the patient's comfort level and assess any potential concerns or risks. This approach allows the nurse to gather information and address any issues in a supportive and patient-centered manner. If the patient expresses concerns or discomfort, further assessment and appropriate interventions can be implemented, which may include involving other members of the healthcare team or authorities if necessary.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
Explanation:
A. Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN) website:
This is a credible source for information related to women's health, obstetrics, and neonatal care. AWHONN is a reputable organization in the healthcare field, and their website likely provides evidence-based information and resources.
B. A pamphlet about hypoglycemia from the American Diabetes Association Cumulative Index of Nursing and Allied Health Literature (CINAHL) website:
CINAHL is a reputable database for nursing and allied health literature. Pamphlets or articles from organizations like the American Diabetes Association are generally considered credible sources of information, especially when they are based on scientific evidence and research.
C. A magazine article about healthcare trends authored by a journalist:
While magazine articles can sometimes provide valuable insights, they are generally not considered as credible as information from professional organizations, peer-reviewed journals, or government agencies. Journalists may not always have the same level of expertise or access to scientific research as healthcare professionals.
D. American Association of Critical Care Nurses (AACN) website:
The AACN is a respected organization in critical care nursing, and their website is likely a credible source for information related to critical care nursing practices, guidelines, and research.
E. Agency for Healthcare Research and Quality (AHRQ) website:
The AHRQ is a federal agency that conducts research and provides evidence-based information and guidelines related to healthcare quality, safety, and effectiveness. Their website is considered a highly credible source for healthcare information.
Correct Answer is ["B","C","E"]
Explanation
Explanation:
A. Pharmaceutical sales representatives: While pharmaceutical sales representatives may provide promotional materials and product information, their primary goal is to promote specific medications. Their information may be biased and may not always reflect an objective assessment of drug efficacy, safety, or appropriateness.
B. Published journals: Peer-reviewed journals and reputable publications are excellent sources of evidence-based information on medications. They often contain studies, reviews, and updates on drug efficacy, safety, interactions, and guidelines.
C. Pharmacists: Pharmacists are highly trained professionals who specialize in medications. They can provide valuable information regarding drug interactions, dosages, administration, side effects, contraindications, and patient education. Pharmacists are reliable sources for clarifying medication-related inquiries.
D. Internet: While the internet can provide a wealth of information, it is crucial to use reputable and evidence-based websites when searching for medication information. Many websites may contain inaccurate, outdated, or misleading information. Healthcare professionals should use caution and verify information obtained from online sources.
E. Physicians Desk Reference (PDR): The Physicians Desk Reference is a comprehensive reference book that contains detailed information on prescription drugs, including indications, dosages, interactions, adverse effects, and warnings. It is a trusted resource commonly used by healthcare professionals.
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