Question

17.A nurse in a mental health facility is caring for a client who is upset about the loss of privileges due to repetitive negative behavior. Which of the following statements by the nurse demonstrates the effective use of assertive communication? A. "You were made aware of the consequences of negative behavior. B. "I understand that you are angry. However, I followed the appropriate protocol." C. "You need to calm down before discussing this matter any further." D. "Why did you make the choice to behave negatively?" 18.A nurse in an emergency department is caring for an adolescent client who reports being sexually assaulted just prior to admission. Which of the following actions should the nurse take? A Discuss self-defense techniques with the client. are required for a police report B. Inform the client photographs of injuries C. Ask the client to describe the situation. D. Give the client a bed bath prior to physical examination. 19.A nurse is caring for a client who has anorexia nervosa and overexercises to avoid gaining weight. Which of the following nursing actions should the nurse take? A. Praise the client for looking at herself in a mirror B. Ask the client to agree to talk to a nurse whenever she feels the urge to exercise. C. Reprimand the client about the potential damage that has occurred due to overexercising her body. D. Restrict the client from being weighed. 20.A male nurse is assigned to care for a female client who was admitted to the hospital for treatment of injuries following a domestic abuse incident. The client tells the nurse manager she does not want a male nurse as her caregiver. Which of the following nursing responses should the nurse manager make? A. "I can arrange for a female assistive personnel to do your personal hygiene care." B. "The nurse assigned to care for you is very capable and cares for other women in this situation." C. "Your doctor is a man, so it seems like this should not be a problem." D. "I can review the assignments and arrange for a female nurse to care for you."

Answer 1

17. Ans. A. You were made aware of the consequences of negative behavior.

Rationale:

Asservation communication is one of the communication style used by nurses to make patient express positive ideas in a direct way. Asking the patient directly on the negative behavior of the patient make them to self analyze their behavior and to come over the positive changes.

18. Ans. C. Ask the client to describe the situation.

Rationale:

The nurse action to describe the client about this critical situation help to evaluate the patient condition and to treat the patient accordingly. Describing events help to gather specific information and to collect evidence. It also helps the health care provider to examine injuries more appropriately. The nurse should not give a bed bath before examining completely as the bed bath clears the evidence.

19. Ans. C. Reprimand the client about the potential changes that have occurred due to overexercising her body.

Rationale:

Anorexia nervosa is an eating disorder where people fear of being obese. They more concern about their body image. It leads to weight loss and further overexercises results in underweight of the patient. it can be managed by medical management and the patient need to realize the exact cause and potential damage of the body with starvation and too over exercises. So the nurse must make to realize the patient condition herself.

20. D. I can review the assignments and arrange for a female nurse to care for you.

Rationale:

The nurse manager has to arrange for female nurses according to the patient wish. The patient has to right to get care according to their wishes and needs. As a nurse, it is the responsibility of the nurse to provide culturally appropriate care to fulfill the patient needs. Because some of the cultures do not allow females to care by male nurses.