The nurse is caring for a patient who refuses to bathe in the morning. When asked why, the patient says, "I always bathe in the evening." Which action by the nurse is best?

Explain the importance of maintaining morning hygiene practices.

Tell the patient that daily morning baths are the "normal" routine.

Cancel hygiene for the day and attempt again in the morning.

Defer the bath until evening and pass on the information to the next shift.

Answer and Explanation

The Correct Answer is D

A. Explaining the importance of morning hygiene may overlook the patient's established routine and could create resistance.
B. Stating that morning baths are the "normal" routine does not acknowledge the patient's preferences, potentially causing the patient to feel invalidated.
C. Canceling hygiene for the day disregards the patient's needs and preferred routine.
D. Deferring the bath until evening respects the patient’s routine and preference, promoting patient-centered care and improving comfort and compliance with hygiene practices.

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Correct Answer is C

Explanation

A. Certification relates to additional qualifications and does not directly involve independent nursing actions in patient care.
B. Licensure is the legal permission to practice nursing but does not describe decision-making and action in patient care.
C. Autonomy is demonstrated when the nurse independently assesses the patient’s fluid status and takes action to promote health by encouraging fluid intake. This reflects the nurse’s ability to make decisions and act based on professional judgment.
D. Accountability refers to being responsible for one's actions but does not specifically cover the independent decision-making shown here.

A. Assertiveness training for the family. B. Routine preventative health visits. C. Time-management skills. D. Speech articulation skills.

Correct Answer is C

Explanation

A. Assertiveness training may benefit family communication but is not specifically effective in managing homework stress.
B. Routine preventative health visits are important for overall health but do not directly address homework-related stress.
C. Teaching time-management skills helps children with ADHD better organize their tasks and allocate appropriate time for homework, thus reducing stress and improving academic performance.
D. Speech articulation skills focus on communication and language development, which are not directly related to managing homework stress for children with ADHD.

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The nurse is caring for a patient who refuses to bathe in the morning. When asked why, the patient says, "I always bathe in the evening." Which action by the nurse is best?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse assesses a patient's fluid status and decides that the patient needs to drink more fluids. The nurse then encourages the patient to drink more fluids. Which concept is the nurse demonstrating?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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