The nurse is setting up the physical environment for an interview with a client and plans to obtain subjective data regarding the client's health.
Which interventions are appropriate? Select three options that apply.
Ensure comfortable seating at eye level for the client and nurse.
Provide seating for the client so that the client faces a strong light.
Ensure that the distance between the client and nurse is at least 7 ft (2.1 meters).
Place a chair for the client across from the nurse's desk.
Set the room temperature at a comfortable level.
Remove distracting objects from the interviewing area.
Correct Answer : A,E,F
A. Ensure comfortable seating at eye level for the client and nurse: Establishes a non-intimidating environment, helping the client feel more at ease.
B. Provide seating for the client so that the client faces a strong light: Incorrect; this may cause discomfort and make the client feel scrutinized.
C. Ensure that the distance between the client and nurse is at least 7 ft: Too great a distance for effective communication; ideal distance is 3-4 feet.
D. Place a chair for the client across from the nurse's desk: Creates a formal, potentially intimidating setting, discouraging openness.
E. Set the room temperature at a comfortable level: Ensures physical comfort, aiding in client relaxation and openness.
F. Remove distracting objects from the interviewing area: Minimizes potential distractions, keeping the client focused and the environment conducive to communication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["117"]
Explanation
Infusion rate (mL/hr) = Volume to be infused (mL) / Time (hr)
In this case:
- Volume to be infused = 350 mL
- Time = 3 hours
Plugging the values into the formula:
- Infusion rate = 350 mL / 3 hours = 116.67 mL/hr
Rounding to the nearest whole number, the infusion rate is 117 mL/hr.
Correct Answer is B
Explanation
A. A quantitative RNA assay is used to measure the amount of HIV RNA in the blood and is not used for confirmatory diagnosis after a positive ELISA.
B. The Western blot analysis is the standard confirmatory test for HIV following a positive ELISA result, as it specifically detects the presence of antibodies to HIV proteins.
C. A viral load test assesses the level of virus in the blood but does not confirm the diagnosis of HIV.
D. The CD4+ T-cell count is used to assess immune function in individuals with HIV but is not a confirmatory test for the diagnosis of the virus.
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