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While the nurse is talking with a female client, the client becomes quiet for several hours. Which is the nurse’s best response?

To maintain silence and be attentive to the client’s nonverbal communication and let the client gather his/her thoughts.

To ask the client a question so the conversation can continue.

To tell the client that help can be more eﬀective if she shares her feelings.

To interpret this action as an indication that the client is finished with the conversation.

Answer and Explanation

The Correct Answer is A

a. To maintain silence and be attentive to the client’s nonverbal communication and let the client gather his/her thoughts.

The best response for the nurse in this situation is to maintain silence and be attentive to the client's nonverbal communication. This allows the client to gather her thoughts and continue the conversation when she is ready. Interrupting the silence with a question or trying to push the client to share her feelings may cause her to withdraw further. It is important for the nurse to respect the client's pace and provide a safe and supportive environment for her to express her thoughts and feelings. Therefore,

Option a is the correct answer.

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Correct Answer is A

Explanation

The first and most important step that the nurse should take is to report the medication error immediately to the nurse manager or supervisor. Medication errors can have serious consequences for patients and it is important to take immediate action to address the situation. Reporting the error to the supervisor will allow for a timely assessment of the patient's condition and any necessary interventions.

Telling the patient or a co-worker about the error is not the first step the nurse should take. It is important to first ensure that the error is reported to the appropriate person who can take action to address the situation. If there is no adverse eﬀect on the patient, it is still important to report the error to prevent any potential harm in the future. Ignoring the error or not reporting it is not an appropriate response and can have serious consequences for the patient's safety.

A. Call the physician to ask for clarification. B. Check the states nurse practice act. C. Refer to the facility’s policy and procedures to determine the course of action. D. Contact the nursing supervisor for approval to carry out treatment.

Correct Answer is C

Explanation

When faced with an unfamiliar treatment instruction, it is important for the nurse to consult the facility’s policies and procedures to determine the appropriate course of action. These policies and procedures provide guidance on how to carry out treatments safely and eﬀectively and can help ensure that the patient receives the best possible care.

While it may also be appropriate for the nurse to call the physician for clarification (a), check the state’s nurse practice act (b), or contact the nursing supervisor for approval (d), consulting the facility’s policies and procedures should be the first step in determining the appropriate course of action.

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While the nurse is talking with a female client, the client becomes quiet for several hours. Which is the nurse’s best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse just realized that a medication error just occurred. What should the nurse do first?

Correct Answer is A

Explanation

An order written by the physician is reviewed by the nursing staﬀ, and no one is familiar with the treatment instructions. A nurse who is recently hired knows that this treatment is covered by the states nurse practice act. What is the nurses’ best course of action?

Correct Answer is C

Explanation

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