The nurse prepares to meet with assigned clients after receiving hand-off communication. Which statement or question demonstrates that the nurse is in the termination phase with a client?
"After breakfast we can review the instructions for insulin self-injection again."
"As soon as I get your admission papers I'll be in to talk with you about your health problem."
“I see that you live near the hospital. Have you been living here a while?"
“I’m going to miss talking with you every day but you are better and ready to go home now."
The Correct Answer is D
A. "After breakfast we can review the instructions for insulin self-injection again.": This statement indicates ongoing interaction and teaching with the client, suggesting that the nurse is still in the working phase of the nurse-client relationship rather than the termination phase.
B. "As soon as I get your admission papers I'll be in to talk with you about your health problem.": This statement implies the initiation of a relationship and care plan, indicating that the nurse is in the orientation phase rather than the termination phase.
C. “I see that you live near the hospital. Have you been living here a while?": This statement reflects rapport-building and exploration of the client’s background, which are part of the initial phases of the nurse-client relationship. It does not signify the termination phase.
D. “I’m going to miss talking with you every day but you are better and ready to go home now.": This statement clearly indicates the termination phase of the nurse-client relationship. It acknowledges the emotional aspect of the relationship while confirming that the client is prepared for discharge, signifying the conclusion of the care provided. This reflects a transition in the relationship as the nurse prepares to end interactions with the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Airborne: Airborne precautions are used for diseases that can be transmitted through airborne droplet nuclei, such as tuberculosis or measles. Hepatitis C is not transmitted through the air, making airborne precautions unnecessary for this condition.
B. Droplet: Droplet precautions are required for infections spread through respiratory droplets, such as influenza or meningitis. Hepatitis C is not spread via respiratory droplets, so droplet precautions are not applicable.
C. Contact: Contact precautions are necessary for infections that can be transmitted through direct contact with the patient or contaminated surfaces, such as MRSA or C. difficile. While contact precautions may be applied in specific situations involving hepatitis C, they are not the standard precautions for routine care of hepatitis C patients.
D. Standard: Standard precautions are the foundation for infection control practices and are recommended for all patients, regardless of their diagnosis. This includes measures such as hand hygiene, using personal protective equipment (PPE) when necessary, and safe handling of potentially contaminated materials. Since hepatitis C is primarily transmitted through blood and body fluids, standard precautions are appropriate for caring for clients with this condition.
Correct Answer is C
Explanation
A. Prevents scarring by minimizing collagen production: Negative pressure wound therapy (NPWT) does not prevent scarring by minimizing collagen production. In fact, NPWT can stimulate collagen production as part of the wound healing process, which can contribute to scar formation.
B. Relieves pain by numbing the wound area: NPWT does not have a numbing effect on the wound area. While it may help promote a more comfortable healing environment, it does not directly relieve pain like local anesthetics or analgesics would.
C. Promotes wound healing by increasing blood flow to the wound: NPWT promotes wound healing by creating a negative pressure environment that helps draw excess fluid away from the wound, reduces edema, and stimulates blood flow to the area. This increased blood flow enhances the delivery of nutrients and oxygen necessary for the healing process, making this option correct.
D. Reduces the risk of infection by creating a sterile environment: While NPWT can help reduce the risk of infection by keeping the wound moist and removing excess exudate, it does not create a completely sterile environment. Proper wound care and dressing changes are still necessary to maintain cleanliness and prevent infection.
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