The nurse is discussing the steps of a dressing change with a client who has low self-efficacy. What statement by the client will the nurse prioritize?
"I want the instructions written out."
"I haven't changed the dressing by myself yet."
"I want my son to help me."
"I don't think I can do this."
The Correct Answer is D
Choice A reason: This is not the statement that the nurse will prioritize. The client may want the instructions written out for convenience or clarity, but it does not indicate their level of self-efficacy.
Choice B reason: This is not the statement that the nurse will prioritize. The client may not have changed the dressing by themselves yet, but it does not mean that they cannot do it. The client may just need more practice or guidance.
Choice C reason: This is not the statement that the nurse will prioritize. The client may want their son to help them for emotional or physical support, but it does not reflect their self-efficacy.
Choice D reason: This is the statement that the nurse will prioritize. The client expresses a negative belief about their ability to perform the dressing change. This indicates that the client has low self-efficacy, which is the confidence in one's ability to accomplish a specific task. The nurse should address this statement by providing positive feedback, encouragement, and reassurance to the client. The nurse should also demonstrate the steps of the dressing change and allow the client to practice under supervision.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the best answer. Patient-centered care is a model of care that respects the client's preferences, values, and needs. By involving the client in problem-solving and decision-making, the nurse empowers the client and promotes their autonomy and dignity.
Choice B reason: This is not a good answer. Delivering all requests made by the client may not be feasible, ethical, or beneficial for the client. The nurse should assess the client's requests and determine if they are appropriate and aligned with the client's goals of care.
Choice C reason: This is a poor answer. Disregarding visiting hours is not patient-centered care, but rather a violation of the health care facility's policies and procedures. Visiting hours are established to ensure the safety and comfort of all clients and staff.
Choice D reason: This is a bad answer. Using only the decisions you feel are best for the client is not patient-centered care, but rather paternalistic care. Paternalistic care is a model of care that assumes the nurse knows what is best for the client and imposes their decisions on the client without their consent or input.
Correct Answer is C
Explanation
Choice A reason: This is not the most significant factor. The client's popularity may change over time or depend on external factors. The client may also face peer pressure or bullying from their friends.
Choice B reason: This is not the most significant factor. The client's academic performance may vary depending on the difficulty of the subjects, the quality of the teachers, or the availability of resources. The client may also experience stress or anxiety from the expectations of their parents or teachers.
Choice C reason: This is the best answer. The client's self-esteem is the most important factor that will help them cope with negative stressors. Self-esteem is the degree to which the client values and respects themselves. A positive self-esteem will enable the client to have confidence, resilience, and optimism in facing challenges and opportunities.
Choice D reason: This is not the most significant factor. The client's family support may be beneficial, but it may not be enough to protect them from negative stressors. The client may also have conflicts or disagreements with their siblings.
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