Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is preparing a client for surgery. The client has signed the consent form but tells the nurse that she has reconsidered because she is worried about the pain. Which of the following responses by the nurse is appropriate?
A. "You'll be fine. You'll receive a prescription for pain medication."
Dismissing the client's concerns and suggesting pain medication without addressing the client's worries isn't an empathetic or helpful response.
B. "Why didn't you discuss your concerns with your provider?"
Asking why the client didn't discuss concerns with the provider might make the client feel guilty or judged for their decision.
C. "If you have the procedure now, you won't have to deal with pain and disability later."
Pressuring the client by suggesting avoiding future pain and disability isn't respectful of the client's current concerns and decision-making.
D. "I understand, and it's not too late to change your mind,"
Acknowledging the client's worries and affirming their ability to change their mind is an appropriate and supportive response.
This question is an excerpt from Nurse Dive's nursing test bank - Ati Rn Leadership 2019 Proctored Exam. Take the full exam now
Full Explanation
A. Dismissing the client's concerns and suggesting pain medication without addressing the client's worries isn't an empathetic or helpful response.
B. Asking why the client didn't discuss concerns with the provider might make the client feel guilty or judged for their decision.
C. Pressuring the client by suggesting avoiding future pain and disability isn't respectful of the client's current concerns and decision-making.
D. Acknowledging the client's worries and affirming their ability to change their mind is an appropriate and supportive response.
Similar Questions
A nurse is comparing the rate of medication errors on the medical unit to the rate from amedical unit in a magnet hospital. Which of the following quality improvement methods is the nurse using?
A. Root cause analysis
Root cause analysis involves investigating errors to determine underlying causes and preventive measures.
B. Risk benefit analysis
Risk benefit analysis weighs the potential risks and benefits of a particular action or decision.
C. Structure audit
Structure audit evaluates the infrastructure and resources in place but doesn't involve comparison between different units.
D. Benchmarking
Benchmarking involves comparing performance metrics to those of other organizations or units to identify best practices and areas for improvement, as in comparing medication error rates between units in different hospitals.
Full Explanation
A. Root cause analysis involves investigating errors to determine underlying causes and preventive measures.
B. Risk benefit analysis weighs the potential risks and benefits of a particular action or decision.
C. Structure audit evaluates the infrastructure and resources in place but doesn't involve comparison between different units.
D. Benchmarking involves comparing performance metrics to those of other organizations or units to identify best practices and areas for improvement, as in comparing medication error rates between units in different hospitals.
A nurse is preparing a teaching session with a client who speaks a different language than the nurse. Which of the following interventions should the nurse plan to include?
A. Incorporate gestures and hand signals when presenting information.
Gestures and hand signals can be helpful but might not fully convey complex medical information.
B. Involve the client's partner to assist with the teaching session
Involving the client's partner can be beneficial but might not ensure accurate communication and understanding.
C. Validate understanding by interpreting the client's body language.
Interpreting body language is essential for communication but might not suffice for comprehensive teaching.
D. Provide an interpreter when obtaining consent from the client.
Providing an interpreter ensures accurate and complete communication during the teaching session, facilitating understanding and informed consent.
Full Explanation
A. Gestures and hand signals can be helpful but might not fully convey complex medical information.
B. Involving the client's partner can be beneficial but might not ensure accurate communication and understanding.
C. Interpreting body language is essential for communication but might not suffice for comprehensive teaching.
D. Providing an interpreter ensures accurate and complete communication during the teaching session, facilitating understanding and informed consent.
A nurse at a long-term care facility is planning a fall prevention program for the residents. Which of the following interventions should the nurse include?
A. Keep the four side rails up on beds at night.
Keeping all four side rails up on beds can increase the risk of entrapment or injury and isn't recommended as a fall prevention strategy.
B. Institute rounds every 2 hr during the day to offer toileting
Instituting regular rounds during the day to offer toileting helps prevent falls related to residents attempting to get to the bathroom independently.
C. Accompany residents older than 85 years of age during ambulation
Accompanying older residents during ambulation is helpful but might not be feasible at all times and for all residents.
D. Apply vest restraints on residents who are confused.
Using vest restraints can lead to physical and psychological complications and is not recommended due to ethical and safety concerns.
E. Apply vest restraints on residents who are confused.
Full Explanation
A. Keeping all four side rails up on beds can increase the risk of entrapment or injury and isn't recommended as a fall prevention strategy.
B. Instituting regular rounds during the day to offer toileting helps prevent falls related to residents attempting to get to the bathroom independently.
C. Accompanying older residents during ambulation is helpful but might not be feasible at all times and for all residents.
D. Using vest restraints can lead to physical and psychological complications and is not recommended due to ethical and safety concerns.