How can a nurse promote comfort for a patient who is experiencing anxiety?

Correct Answer: C

Rationale: Using therapeutic communication and active listening promotes comfort in an anxious patient by validating their feelings, reducing isolation, and building trust through empathetic dialogue. Leaving them alone may worsen anxiety, signaling abandonment. Avoiding eye contact disconnects, heightening distress. Suggesting no deep breathing dismisses a proven calming technique nurses often encourage it. This approach, involving open-ended questions and reassurance, addresses emotional needs, helping patients cope, a vital nursing skill in holistic care beyond physical interventions.

Correct Answer: B

Rationale: Assessing readiness and strength before assisting a patient to stand ensures safety by confirming they can bear weight or need support, preventing falls or strain. Telling them to stand alone risks injury if they're unsteady. Starting exercises skips this vital check preparation precedes action. Medicating after standing delays pain relief needed for the task. Nurses evaluate balance, pain, and vitals, customizing assistance, a proactive step to secure a smooth, safe transition from bed to standing.

Correct Answer: C

Rationale: Monitoring frequently and releasing restraints as soon as possible ensures proper use by minimizing risk (e.g., circulation issues) and duration, aligning with safety and ethical standards. Punishment is illegal restraints protect, not discipline. Wrist-only application ignores full needs; type varies by situation. Overtightening harms, not helps fit must be secure yet safe. Nurses check skin, adjust as needed, and document, balancing protection with dignity, a regulated practice to prevent harm and overuse.

Correct Answer: B

Rationale: A urinal collects urine (and potentially feces in broader terms, though typically urine-focused) for a bedbound male patient, maintaining hygiene and convenience without requiring movement. Comfortable seating isn't its role it's a handheld device. Leg elevation uses pillows, not urinals. Encouraging mobility doesn't apply; it's for immobility. Nurses assist with placement, ensuring spill-free use, a practical solution for elimination needs in confined conditions, supporting dignity and cleanliness.

Correct Answer: C

Rationale: The Minimum Data Set (MDS) assesses pain, mobility, and diet to track resident status in long-term care, but mental health diagnosis isn't a standard category it's inferred via behavior or mood, not directly listed. MDS focuses on functional areas (e.g., ADLs, nutrition) for care planning, not clinical diagnoses like depression, which nurses or doctors handle separately. Health care aides contribute observations to MDS, like pain levels, but don't diagnose. Knowing its scope ensures accurate reporting, avoiding confusion over their role in this standardized tool.