Whitney, a patient of nurse Budek, verbalizes... 'I have nothing, nothing... nothing! Don't make me close one more door, I don't wanna hurt anymore!' Which of the following is the most appropriate response by Budek?

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Question 1 of 5

Whitney, a patient of nurse Budek, verbalizes... 'I have nothing, nothing... nothing! Don't make me close one more door, I don't wanna hurt anymore!' Which of the following is the most appropriate response by Budek?

Correct Answer: B

Rationale: What makes you say that?' (B) is most appropriate, exploring Whitney's despair therapeutically, per Peplau. 'Why are you singing?' (A) dismisses, 'You are everything' (C) denies, and 'What is that?' (D) avoids depth. B invites dialogue, making it correct.

Question 2 of 5

Which of the following need is given a higher priority among others?

Correct Answer: A

Rationale: Suicide attempt (A) is highest priority; safety trumps all, per Maslow's hierarchy (physiological/security). Body image (B), depression (C), and dehydration (D) follow. A's imminent risk makes it correct.

Question 3 of 5

A walk-in client enters into the clinic with a chief complaint of abdominal pain and diarrhea. The nurse takes the client's vital signs hereafter. What phase of nursing process is being implemented here by the nurse?

Correct Answer: A

Rationale: The nursing process is a systematic approach to client care, beginning with assessment (A), which involves collecting data about the client's health status. Taking vital signs after a client reports abdominal pain and diarrhea is a clear example of assessment, as it gathers objective physiological data (e.g., temperature, pulse, blood pressure) to evaluate the client's condition. Diagnosis (B) follows assessment and involves analyzing data to identify health problems, which has not yet occurred here. Planning (C) entails setting goals and interventions based on the diagnosis, while implementation (D) is the execution of those interventions neither of which apply to simply taking vital signs. This initial data collection is foundational to understanding the client's condition, guiding subsequent steps, and ensuring accurate care, making A the correct phase in this scenario.

Question 4 of 5

Which of the following statement is TRUE about pain in elderly clients?

Correct Answer: D

Rationale: Elderly clients' pain reports should be taken seriously (D), per geriatric care pain isn't less felt (A), narcotics aren't barred (B), and it's not normal aging (C). Sensitivity may drop, but pain remains significant; under-treatment risks exist. D ensures proper management, making it the true statement.

Question 5 of 5

Mr. Gary signed a DNR order. Which of the following statement is TRUE about DNR?

Correct Answer: B

Rationale: DNR means no CPR (B), per its definition resuscitation is withheld if the heart stops. Food/medications (A) continue, it's not about recovery hope (C), and DNR can be revoked (D). B accurately reflects DNR's scope, aligning with legal/ethical practice, making it true.

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