The nursing staff are caring for a confused patient who is at risk for falling.
What action by the nurse would be appropriate in order to avoid restraining the patient?
Avoid assisting the patient to walk if they are restless.
Discourage the family from staying with the patient.
Move the patient to a room farther away from the nurses station.
Ask the family what movies or music the patient would enjoy and offer them.
The Correct Answer is D
Choice A rationale:
Avoiding assisting a restless patient to walk does not address the issue of patient confusion and the risk of falling. Restless patients might need assistance, and refusing to help them walk could lead to further complications or falls.
Choice B rationale:
Discouraging the family from staying with the patient does not promote patient safety. Family members can provide additional support and supervision, reducing the risk of falls for a confused patient.
Choice C rationale:
Moving the patient farther away from the nurses' station does not address the patient's confusion or the risk of falling. It might even increase the response time in case of an emergency.
Choice D rationale:
Asking the family about the patient's preferences for movies or music and offering these activities is an appropriate way to engage the patient without resorting to restraints. Providing stimulating and enjoyable activities can help distract and calm the patient, reducing restlessness and the risk of falls.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["D","A","E","C","B"]
Explanation
Correct Answer is A
Explanation
Choice A rationale:
"I'm sorry, I didn't hear what you said about your job. Please tell me again.”. This response demonstrates active listening and empathy. It acknowledges the patient's feelings and encourages them to share their concerns, promoting therapeutic communication. By asking the patient to repeat what they said, the nurse shows genuine interest in understanding the patient's emotions and concerns, fostering trust and rapport.
Choice B rationale:
"Why are you crying so hard about your job? What happened to your job?" This response, while well-intentioned, may come across as intrusive and judgmental. It does not encourage open communication and may make the patient feel defensive, hindering the nurse-patient relationship.
Choice C rationale:
"It's natural to be worried about your job. We all worry about our jobs sometimes.”. While this response acknowledges the patient's feelings, it does not address the specific concern the patient mentioned. It generalizes the situation and does not invite the patient to share more about their feelings, missing an opportunity for deeper communication and understanding.
Choice D rationale:
"Your job must be important to you since you are talking about it.”. This response makes an assumption about the importance of the patient's job without allowing the patient to express their feelings. It does not demonstrate active listening or empathy and may not encourage the patient to open up further about their concerns.
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