A nurse making rounds hears sounds coming from an adolescent's room. When checking on the client, the nurse hears noises coming from the bathroom, and suspects that the client is masturbating
Which are the most appropriate actions in this situation? Standard Text: Select all that apply. 1. Wait until the client comes out of the bathroom.
2. Pretend she did not hear anything.
3. Discuss the inappropriate behavior.
4. Examine his/her personal feelings about what might be happening.
5. Knock on the door before entering the bathroom.
4,5
Rationale: Wait until the client comes out of the bathroom. Waiting for the client to come out of the bathroom is not necessary; the nurse needs to verify the client's well-being.
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