The nurse is caring for a client who expresses concerns about sexual orientation. When using the PLISSIT model, which step will the nurse take first?

Provide information about sexual orientation and comment on alternatives.

Communicate an open, accepting attitude.

Provide a referral for the client to see a sex therapist.

Teach the client about normal sexual health.

Answer and Explanation

The Correct Answer is B

A. Provide information about sexual orientation and comment on alternatives: This step involves providing information about sexual orientation and discussing alternatives. However, it may not be the first step in the PLISSIT model. First, the nurse should establish a supportive and nonjudgmental environment, which is addressed in option B.

B. Communicate an open, accepting attitude: This is the correct response. In the PLISSIT model, the first step is to establish an open, accepting attitude. This involves creating a safe space for the client to express their concerns without fear of judgment or discrimination. By demonstrating acceptance and empathy, the nurse encourages the client to feel comfortable discussing sensitive topics related to sexual orientation.

C. Provide a referral for the client to see a sex therapist: Referral to a sex therapist may be appropriate for clients who require specialized intervention beyond the nurse's scope of practice. However, in the PLISSIT model, referral to a specialist typically occurs after the initial steps of establishing rapport and assessing the client's needs.

D. Teach the client about normal sexual health: While education about normal sexual health is an important aspect of sexual health nursing, it may not be the first step in the PLISSIT model. Initially, the focus is on creating a supportive environment and building trust with the client.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. Diarrhea: Diarrhea typically involves the passage of loose or watery stools, often occurring frequently throughout the day. It is characterized by increased frequency, urgency, and volume of stool output. While diarrhea can cause bloating, it is not usually associated with continuous oozing of small amounts of liquid stool.

B. Flatus: Flatus refers to the passage of gas through the rectum, commonly known as "passing gas" or "flatulence." While flatus can contribute to feelings of bloating or discomfort, it does not involve the continuous oozing of liquid stool.

C. Overflow: Overflow typically occurs in the context of fecal impaction, where liquid stool leaks around a fecal mass that is blocking the rectum. However, overflow is characterized by the intermittent leakage of liquid stool, often preceded by constipation and fecal impaction. Continuous oozing of small amounts of liquid stool is not typically associated with overflow alone.

D. Impaction: Fecal impaction occurs when a large, hardened mass of stool accumulates in the rectum, making it difficult or impossible to pass stool. Continuous oozing of small amounts of liquid stool can occur around the impacted fecal mass, leading to symptoms such as bloating, discomfort, and leakage of liquid stool. Therefore, fecal impaction is the most likely condition associated with the client's symptoms.

In summary, option D (Impaction) is the correct answer as it best aligns with the client's symptoms of feeling bloated and experiencing continuous oozing of small amounts of liquid stool in the context of being on bedrest after surgery

A. Temperature B. BP and pulse in lying, then sitting and standing positions C. Pulse oximetry reading on room air D. Respiratory rate and depth

Correct Answer is B

Explanation

A. Temperature: While temperature assessment is important in evaluating a client's condition, it primarily indicates the presence of fever, which the client already reports. However, it does not provide direct information about the client's fluid status.

B. BP and pulse in lying, then sitting and standing positions: Assessing blood pressure (BP) and pulse in different positions (lying, sitting, and standing) helps evaluate orthostatic changes, which can indicate volume depletion or dehydration. A drop in BP and an increase in pulse rate upon standing suggest volume depletion and orthostatic hypotension, which are indicators of fluid loss.

C. Pulse oximetry reading on room air: Pulse oximetry measures the oxygen saturation of arterial blood and is primarily used to assess respiratory status and oxygenation. While it provides valuable information about oxygen levels, it does not directly assess fluid status.

D. Respiratory rate and depth: Respiratory rate and depth can be affected by various factors, including pain, fever, and respiratory conditions. While changes in respiratory rate and depth can indicate distress or respiratory compromise, they are not specific indicators of fluid status and may not directly reflect hydration status.

View Question and Answer

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

The nurse is caring for a client who expresses concerns about sexual orientation. When using the PLISSIT model, which step will the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client, who is on bedrest after surgery, complains of feeling bloated and having continuous oozing of small amounts of liquid stool. The nurse recognizes this as being symptomatic of which condition?

Correct Answer is D

Explanation

The nurse is assessing a 66-year-old client who reports having a fever and feeling weak and dizzy with nausea and vomiting for three days. The nurse observes a dry tongue and oral mucosa, and concentrated urine. To best assess the client's fluid status, which parameter(s) should the nurse check?

Correct Answer is B

Explanation

The nurse collects a urine sample from a newly admitted client. The color of the urine is slightly pink. The first nursing action would be to:

The nurse is talking with a 14-year-old female client who has just had her first sexual experience with a boy. At this time, the nurse should assess the client's knowledge of: (SELECT ALL THAT APPLY)

The nurse is caring for a client who presents with a sudden 5 lb. (2.3 kg) weight gain, bounding pulses, and a blood pressure of 174/94. These clinical findings are indicative of:

The nurse assesses a client admitted with a history of vomiting and diarrhea for 5 days. Which laboratory value validates the symptoms of the client?

When learning of a new cancer diagnosis, the client states, "If it is God's will, I will survive this." The nurse who is providing spiritually competent care would respond by:

The nurse assesses a client with a history of deficient fluid volume. What are the most accurate findings for this fluid volume status? (SELECT ALL THAT APPLY)

The nurse caring for a client diagnosed with dehydration recognizes that which of the following are appropriate nursing interventions? (SELECT ALL THAT APPLY)