Author Question: An unconscious client is brought to the emergency department by ambulance for trauma treatment. ... (Read 123 times)

luminitza · **on:** Jul 19, 2018

An unconscious client is brought to the emergency department by ambulance for trauma treatment.
The client is wearing a cocktail dress, high heels, and a wig, but on close inspection has facial and
body hair consistent with being male.

Further inspection determines that the client is male. Several
staff laugh and make remarks about transvestism as they stabilize the client. The most appropriate
action for the nurse is to say
a. Your focus should be treatment, not ridicule..
b. Each client deserves our respect..
c. Your behavior constitutes client abuse..
d. Grow up, you have seen this before..

Question 2

A client who has been under stress for several years tells the nurse that When a problem comes up,
I just walk away from it because I don't know how to handle it. Then I feel worse because I didn't
do anything..

The client outcome the nurse should consider is
a. comfort level.
b. decision making.
c. anxiety self-control.
d. acceptance: health status.

moormoney · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
The scenario is an example of a stigmatization of a medically ill client. The nurse should advocate
for the client in this situation. Option B is a simple, straightforward reminder of the need to respect
the dignity of each individual. Remembering that clients who are unconscious may still be able to
hear should cause the nurse to attempt to immediately put an end to the negative comments being
made without being argumentative or accusative.

Answer to Question 2

ANS: B
The client describes not knowing how to handle decision making and experiencing negative feelings
as a result of an inability to make decisions. Decision making as an outcome is entirely relevant. The
other options do not have the same degree of relevance.