A client is pacing the hall near the nurses' station, swearing loudly. An appropriate initial

intervention for the nurse would be to address the client by name and say

a. "Please quiet down.".
b. "Hey, what's up?"
c. "You seem upset. Tell me about it.".
d. "You need to go to your room to get control of yourself.".


C
Intervention should begin with analysis of the client and the situation. With this response the nurse is
attempting to hear the client's feelings and concerns. This leads to the next step of planning an
intervention. Options A and D close off communication. Option B is not a concrete request for
information and could be misinterpreted.

Nursing

You might also like to view...

Which one of the following findings is necessary for a woman to be diagnosed with the HELLP syndrome?

A) Hyperglycemia B) Elevated platelet count C) Disseminated intravascular coagulopathy (DIC) D) Elevated liver enzymes (SGOT, SGPT)

Nursing

A patient with stage 2 Alzheimer's disease calls the police, saying an intruder is in her home. The police officer who investigates the call determines the patient has seen her own reflection in the mirror and thought an intruder was present

This phenomenon can be assessed as: a. hyperorality. b. aphasia. c. apraxia. d. agnosia.

Nursing

A client is seen in the emergency department in shock. X-rays reveal protrusion of a portion of the fetus through the maternal abdomen. The nurse hypothesizes that the client has experienced which of the following?

a. Placenta previa c. Abruptio placentae b. Uterine rupture d. Umbilical cord pro-lapse

Nursing

An appropriate nursing intervention when caring for a child with pneumonia is to:

a. Encourage rest. b. Encourage the child to lie on the unaffected side. c. Administer analgesics. d. Place the child in the Trendelenburg position.

Nursing