Which nursing action is most appropriate in this situation?
- A. Asking the client why he or she is so suspicious
- B. Putting the chart away
- C. Handing the client the form to read
- D. Telling the client that it is illegal to read the client record
Correct Answer: B
Rationale: Putting the chart away maintains privacy without escalating suspicion.
You may also like to solve these questions
Which of the following information documented by the nurse provides the most evidence that the mother is bonding with her newborn with Down syndrome?
- A. The mother smiles and talks to the baby.
- B. The mother asks questions about infant care.
- C. The mother wants to see visitors who come.
- D. The mother feeds and burps the baby.
Correct Answer: A
Rationale: Smiling and talking to the baby indicate emotional engagement and attachment, key signs of bonding.
If the unprescribed drug is an anabolic steroid, which other physical effect is common?
- A. Decreased lung capacity
- B. Bronzed skin
- C. Occurrence of or worsened acne
- D. Brittle nails
Correct Answer: C
Rationale: Acne is a common side effect of anabolic steroids.
When performing a brief check of the client's mental status, which question is most appropriate for assessing the client's orientation?
- A. What is today's date?
- B. How did you get here?
- C. Where were you born?
- D. Who is currently the U.S. president?
Correct Answer: A
Rationale: Asking the date assesses orientation to time, a key component.
When reviewing the assessment data, the nurse would expect to note which characteristic physical finding?
- A. Extremely low body weight
- B. Erosion of dental enamel
- C. Cessation of menstruation
- D. Patchy loss of hair
Correct Answer: B
Rationale: Erosion of dental enamel is caused by frequent vomiting in bulimia.
If the teenage mother expresses feeling inexperienced and inadequate in caring for the baby, which referral is best?
- A. Project Head Start
- B. Planned Parenthood
- C. Parent-Teacher Association
- D. Parenting classes
Correct Answer: D
Rationale: Parenting classes provide education and support to build confidence and skills.
Nokea