The nurse notes that a client from another culture backs away from the nurse as the nurse approaches the bed. What should the nurse do?
1. Assume the client wants a different nurse
2. Come back at a later time
3. Realize that the client needs more personal space
4. Sit on the bed to indicate friendliness
Answer: 3
1. Backing away is the way that humans act when their personal space is violated. The client has not indicated that he wants a different caregiver.
2. The client will most likely act in the same manner later. The nurse should understand that the client's boundaries were violated.
3. Backing away is the classic sign that the nurse has gotten too close. The nurse should explain the procedure and wait for the client to signal that an approach by the nurse is accepted.
4. Sitting on the side of the bed will only increase the client's anxiety.
You might also like to view...
Anemia is a common but not normal finding in the elderly client. Anemia will affect the older client in which way?
A) increasing the oxygen-carrying capacity of the blood B) increasing skin pallor and dyspnea on exertion C) decreasing pulse and respiratory rate D) increasing tissue oxygenation
Which of the following recommendations are appropriate initiatives for colleges to invest in to help nurses become politically active and effective?
a. Assign students to report on state and national legislation affecting nurses. b. Highly encourage nursing students to minor in political science. c. Insist that nursing students join the American Nurses Association in order to graduate. d. Require course work in sociology and economics.
The client is asking the nurse to explain the typical treatment expected when a class 4 Papanicolaou test is reported. The nurse is most correct to state which of the following?
A) No further treatment is considered. B) The test will need repeated in 3 months. C) Further evaluation is needed for potential malignancy. D) Chemotherapy is needed and radiation is suggested.
The nurse is preparing to assess a client with multiple sclerosis. Which assessment finding should the nurse anticipate?
A. Skeletal muscle atrophy B. Tremors C. Visual disturbances D. Muscle rigidity