A client becomes upset when touched by a staff member who was attempting to measure the client's blood pressure. The nurse recognizes that there is a problem with:
A) Informed consent. B) Staff control. C) Confidentiality. D) Duty to protect.
Question 2
A 25-year-old client has a diagnosis of paranoid schizophrenia, with auditory hallucinations. The client informs the staff nurse it is necessary to call the FBI.
The client states, The FBI agent that was here earlier said I could call him whenever I wanted.. What would be the nurse's most appropriate therapeutic communication when talking to this client? A) End all conversations with this client until the client accepts reality.
B) Confront the client with the reality and administer the client's PRN medication.
C) Confront the client and explain that the FBI is not expecting a telephone call.
D) Ask the client directly, What do you want to talk to the FBI about?
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
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