Practice Quiz

NCLEX-RN

Category - Care Management

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Nina the New Nurse is conducting a client-care meeting with her nursing team. Lorie, LPN speaks negatively about a client who constantly calls out for help to anyone passing his doorway. The other team members agree with Lorie. Nina the New Nurse can see that the client’s behavior is perceived as manipulative and demanding of the staffs time, as well as disturbing other clients in adjoining rooms. As team leader, what is Nina the New Nurse’s best response and direction to her team?
  1. “In addition to our usual delegation of duties, I want each team member to take turns checking on this client every hour. In this way, we are meeting the client need for reassurance, while sharing the burden of his demands. No one should feel overwhelmed.”
  2. “We will reduce the client’s visual cues by keeping the door slightly ajar. It will reduce his demands on us and reduce the noise level for the other clients.”
  3. “Lorie, I didn’t realize this client was so time-consuming. I’m reducing your client load so you can make yourself available to him on a more frequent and regular interval. Once he trusts that his needs will be met consistently, he will feel reassured and may not need to make constant demands. Let the client know you will be visiting his room every two hours to help him if he needs it. Let me know how this works.”
  4. “I am going to add this client to the NA’s assignment to make regular visits to his room. Lorie, LPN let the client know he can expect the nursing assistant to visit his room every few hours to help him if he needs it, in addition to your rounds. Let me know how this works.”
Explanation
Answer: C - It is important to assure an anxious client his needs will be met when needed. This assurance is best communicated by assigning one staff member to make regular and consistent visits. This will also help establish continuity of care.
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