Nokea
The nurse leading a group session of adolescent clients gives the members a handout about anger management. One of the male clients is fidgety, interrupts peers when they try to talk, and talks about his pets at home. What nursing action is best for the nurse to take?
- A. Give the client permission to leave and return in 10 minutes.
- B. Explore the client’s feelings about his pets and home life.
- C. Encourage his peers to help involve him in the activity.
- D. Redirect him by encouraging him to read from the handout.
Correct Answer: D
Rationale: The correct answer is D: Redirect him by encouraging him to read from the handout. This option addresses the client's behavior by redirecting his focus back to the group activity. By encouraging him to read from the handout, the nurse provides a constructive way for the client to engage with the material and participate in the session. This approach helps the client stay on track with the intended purpose of the group session, which is anger management.
Other choices are incorrect:
A: Giving the client permission to leave may reinforce disruptive behavior.
B: Exploring the client's feelings about his pets may not address the immediate issue of his behavior.
C: Involving peers may not effectively address the client's disruptive behavior.
Overall, option D is the most appropriate as it directly addresses the client's behavior and redirects him in a positive way.
You may also like to solve these questions
Which nursing statement is an example of reflection?
- A. I think this feeling will pass.
- B. So you are saying that life has no meaning.
- C. I’m not sure I understand what you mean.
- D. You look sad.
Correct Answer: B
Rationale: The correct answer is B because it demonstrates reflective listening by paraphrasing and summarizing the patient's statement. This shows active listening and understanding of the patient's perspective. Choice A is about personal feelings, not reflecting the patient's emotions. Choice C is a statement of uncertainty, not reflective listening. Choice D is an observation, not reflection.
Which statement made by a patient prescribed bupropion (Wellbutrin) demonstrates that the medication education the patient received was effective? Select all that apply.
- A. I hope Wellbutrin will help my depression and also help me to finally quit smoking.
- B. I’m happy to hear that I won’t need to worry too much about weight gain.
- C. It’s okay to take Wellbutrin since I haven’t had a seizure in 6 months.
- D. I need to be careful about driving since the medication could make me drowsy.
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the patient understands the dual purpose of bupropion - treating depression and aiding smoking cessation. This indicates comprehension of the medication's intended effects. Choice B is incorrect as weight loss is a common side effect, not weight gain. Choice C is incorrect as a history of seizures is a contraindication for bupropion. Choice D is incorrect as bupropion is not known to cause drowsiness.
When should a nurse be most alert to the possibility of communication errors resulting in harm to the patient?
- A. Change of shift report
- B. Admission interviews
- C. One-to-one conversations with patients
- D. Conversations with patient families
Correct Answer: A
Rationale: The correct answer is A: Change of shift report. During this crucial handover period, communication errors can occur due to the transfer of information between nurses, leading to potential harm to the patient. This is when important patient details, care plans, and vital information are shared, making it a critical time for accurate and effective communication. Nurses must be vigilant to ensure clear and concise communication to prevent errors.
Summary of why the other choices are incorrect:
B: Admission interviews - While important, communication errors during admission interviews may not have as immediate impact on patient safety as during a shift change report.
C: One-to-one conversations with patients - These interactions are also important, but errors in communication may not have the same potential for harm as during a shift change report.
D: Conversations with patient families - While communication with families is vital, errors during these conversations may not always directly lead to harm as in a shift change report.
An RN is providing education to the family of a client diagnosed with schizophrenia who is being treated with clozapine (Clozaril). The RN should instruct the family to report which symptom immediately?
- A. Sore throat
- B. Weight loss
- C. Constipation
- D. Lightheadedness
Correct Answer: A
Rationale: The correct answer is A: Sore throat. Clozapine can cause agranulocytosis, a potentially life-threatening condition characterized by a decrease in white blood cells. Sore throat could indicate an infection, necessitating immediate medical attention to monitor for agranulocytosis. Weight loss (B) and constipation (C) are common side effects of clozapine but do not require immediate reporting. Lightheadedness (D) may be a side effect but not as urgent as a sore throat in this case.
Therapeutic communication is the foundation of a patient-centered interview. Which of the following techniques is not considered therapeutic?
- A. Restating
- B. Encouraging description of perception
- C. Summarizing
- D. Asking 'why' questions
Correct Answer: D
Rationale: As a tutor, the correct answer is D. Asking 'why' questions is not considered a therapeutic communication technique as it can come off as confrontational or judgmental, potentially making the patient feel defensive or pressured to justify their feelings. Therapeutic communication aims to create a safe and supportive environment for patients to express themselves openly without feeling judged. Restating, encouraging description of perceptions, and summarizing are all therapeutic techniques that help patients feel heard and understood, fostering trust and empathy in the patient-provider relationship.