The nurse is caring for a newly admitted client who has not ...

[amal]

The nurse is caring for a newly admitted client who has not showered in several days and emits an offensive odor. Which of the following actions best conveys respect for the client?
 
  1. Assess the client's abilities and needs related to performing self-care.
  2. Be honest with the client about how his or her appearance affects others.
  3. Explain unit expectations regarding activities of daily living to the client.
  4. Ignore the client's body odor to minimize causing humiliation.

Question 2

Which of the following is a priority assessment for a child in the initial stages of antidepressant treatment?
 
  1. School successes
  2. Food preferences
  3. Suicide assessment
  4. Family functioning

[Danny Ewald]

Answer to Question 1

1
Rationale: The nurse conveys respect for the client's ability to be in control by first assessing strengths, as well as areas that require assistance. Explaining unit expectations, or being honest with the client before assessment, does not promote dignity and communicates possible rejection of the client by the nurse. Ignoring the client's body odor reflects the nurse's own discomfort when caring for clients who are struggling to meet their basic needs.

Answer to Question 2

3
Rationale: Children, adolescents, and young adults are at risk for suicidal behaviors early in the treatment with antidepressants. Family functioning, school successes, and eating are important assessments, but not as important as assessing for lethality/suicidality.