The nurse supervises the care of residents in an assisted living center. The nurse should intervene if which is observed?
A nursing assistant remains silent when a resident tells a demeaning joke.
A nursing assistant and resident laugh together while watching television.
Two nursing assistants laugh at themselves after spilling a pitcher of water.
A nursing assistant makes a joke about a confused resident to other residents.
The Correct Answer is D
A. Remaining silent when a resident tells a demeaning joke may not be ideal, but it's not as harmful as actively making a demeaning joke.
B. Laughing together while watching television is a positive interaction.
C. Laughing at themselves after an accident can foster a positive environment and is harmless.
D. Making a joke about a confused resident to other residents is inappropriate and demeaning, requiring intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Using the patient's daughter might introduce errors or misunderstandings and is not a professional approach for obtaining accurate health information.
B. A bilingual friend is not a professional interpreter and might not maintain confidentiality or provide accurate translations.
C. Requesting a Spanish-speaking medical interpreter ensures that the communication is accurate, professional, and confidential, which is crucial for obtaining a health history.
D. Nonverbal communication and drawings are insufficient for comprehensive health history and might not convey complex medical information.
Correct Answer is D
Explanation
A. “I don’t mind cleaning up your mess. I am used to it because my child does this at night.”
This response is non-therapeutic because it minimizes the patient’s feelings and experiences by comparing them to the nurse’s personal life. It fails to acknowledge the patient's emotional distress and does not address the underlying issue of incontinence.
B. “I will bring you some diapers to wear instead of having you wet the bed all the time.”
This response is dismissive and fails to address the patient’s emotional needs. It focuses on a temporary solution rather than working collaboratively with the patient on a more comprehensive management plan.
C. “Don’t be embarrassed. A lot of patients have this problem after a stroke.”
This response is dismissive of the patient’s feelings of embarrassment. It fails to provide empathetic support and does not offer a solution or a plan to address the incontinence.
D. “You seem upset about this. We can work together on a bladder retraining program.”
This response is therapeutic as it acknowledges the patient’s feelings and offers a constructive approach to manage the issue. It demonstrates empathy and engages the patient in a collaborative solution, which is essential for effective patient care.
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