When assessing a client's sexuality, the nurse is aware that one's own personal values and attitudes:
should be explored while talking to the client.
should be explored before talking to the client.
should be shared with the client.
are not necessary to explore.
The Correct Answer is B
A. should be explored while talking to the client: While it's important for the nurse to be aware of their own personal values and attitudes regarding sexuality, exploring them while talking to the client may not be the most appropriate approach. The focus during client interaction should be on understanding the client's perspectives, concerns, and needs, rather than discussing the nurse's personal values and attitudes.
B. should be explored before talking to the client: This is the most appropriate action. Before discussing sexuality with a client, the nurse should take time to reflect on their own personal values and attitudes regarding sexuality. This self-awareness can help the nurse approach the discussion with sensitivity, open-mindedness, and professionalism, ensuring that their own biases do not negatively influence the care provided to the client.
C. should be shared with the client: Sharing one's own personal values and attitudes regarding sexuality with the client is generally not recommended. The focus of the interaction should be on the client's needs, concerns, and preferences, rather than the nurse's personal beliefs. Sharing personal values could potentially undermine the therapeutic relationship or make the client feel uncomfortable or judged.
D. are not necessary to explore: Exploring one's own personal values and attitudes regarding sexuality is essential for providing client-centered care and maintaining professionalism. Ignoring or dismissing the nurse's own values can lead to biases influencing the care provided to the client. Therefore, it is necessary for the nurse to explore their own values before engaging in discussions with clients about sexuality.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","E"]
Explanation
A. Diarrhea: Diarrhea results in fluid loss from the body and is considered an insensible fluid loss rather than sensible fluid loss. Sensible fluid loss refers to measurable fluid losses such as urine output and sweating.
B. Urinary output: Urinary output represents sensible fluid loss as it is measurable and reflects the volume of fluid excreted by the kidneys. Monitoring urinary output is essential for assessing fluid balance in clients.
C. Profuse sweating: Profuse sweating results in sensible fluid loss as it is measurable and can lead to significant fluid depletion if not adequately replaced. Sweating is the body's mechanism for thermoregulation, and excessive sweating, such as during strenuous exercise or in hot environments, can result in notable fluid loss.
D. Vomiting: Vomiting results in fluid loss from the body and is considered an insensible fluid loss rather than sensible fluid loss. While vomiting leads to the expulsion of gastric contents and fluids, the volume of fluid loss is not easily measurable compared to urine output or sweating.
E. Increased respiratory effort: Increased respiratory effort, such as during heavy breathing or respiratory distress, can result in sensible fluid loss through exhalation. This loss occurs as water vapor is expelled from the lungs during respiration. Monitoring respiratory rate and effort can provide insights into fluid balance in clients, particularly in conditions such as respiratory infections or heart failure.
Correct Answer is B
Explanation
A. Lubricating: A lubricating enema typically refers to an enema solution that contains a lubricant, such as mineral oil, to help soften feces and facilitate their passage from the rectum. Lubricating enemas are used to alleviate constipation by easing the passage of stool. However, soapsuds enemas do not primarily function as lubricating enemas.
B. Irritating: This is the correct option. Soapsuds enemas contain soap or detergent mixed with water, and their primary action is to irritate the intestinal mucosa. The irritation stimulates peristalsis, which promotes bowel evacuation. Soapsuds enemas are often used to relieve constipation by inducing bowel movements through irritation of the intestinal lining.
C. Dilating: Dilating refers to widening or enlarging a structure. While enemas, including soapsuds enemas, may contribute to the relaxation and dilation of the rectum and lower bowel, the primary action of a soapsuds enema is to stimulate bowel evacuation through irritation rather than dilation.
D. Softening: Softening enemas typically involve the introduction of a solution, such as a mineral oil-based solution, to soften feces and facilitate their passage from the rectum. While softening enemas help alleviate constipation by softening stool consistency, soapsuds enemas do not primarily function as softening enemas. Their main action is to stimulate bowel evacuation through irritation.
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