Answer to Question 1
Answer: C
When clients are anxious and upset, they have difficulty focusing, especially on new information, and their anxiety becomes a barrier to effective communication. The nurse needs to prioritize the client's presenting need to express concerns and then engage in teaching at a later time, when the client is able to comprehend. Telling the client to focus will not relieve the anxiety of the imminent issue. Because the nurse is unaware of the issue and is not knowledgeable of the client's situation, it is false reassurance to tell the client that the matter can be handled after the teaching is completed. This also belittles the client's independence and self-efficacy, as does recommending problem solving.
Answer to Question 2
Answer: C
Nursing integrity ensures that patients' rights are respected in the healthcare setting. If the nurse were to confront the two colleagues on the elevator, it could be overheard by others. The nurse should wait to speak to the other nurses privately about the breach of confidentiality. The nurse could report the incident to the unit manager, but it would be best for the nurse to confront the two colleagues in a professional way. The nurse should confront the two colleagues in a private manner in a professional way. If that cannot be done, then notifying the nurse manager would be the next step. The risk manager is only involved in situations where there is an injury to the staff or a client.
When using an interpreter, the nurse should pose questions directly to the patient, not the interpre
The surgical nurse assists the client into the correct position
Patient teaching: male genetalia assessment
Patient Teaching Methods
Greet a First-Time Client With a Firm Handshake.
Example of simplified note for one-time client.