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A nurse is admitting a client for an elective surgical procedure. During the client interview, one of the client's family members faints. Which of the following actions should the nurse take first?

A.

Notify the nurse manager.

B.

Complete an incident report.

C.

Obtain the family member's health history.

D.

Check the family member's vital signs.

Answer and Explanation

The Correct Answer is D

A. Notifying the nurse manager is important, but it is not the immediate priority when a family member has fainted.  

 

B. Completing an incident report is necessary for documentation but should occur after addressing the immediate medical concern.  

 

C. Obtaining the family member's health history is not pertinent at this moment as the priority is to assess their current condition.  

 

D. Checking the family member's vital signs is the first action to determine their immediate health status and any necessary interventions to provide appropriate care.


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View Related questions

Correct Answer is D

Explanation

A. Encouraging the expression of feelings about illness can be a part of patient-centered care, but it does not fully encompass the role of advocacy, which involves more comprehensive support for the client's needs.

B. Reinforcing teaching about prescribed medications is important but falls under education and patient care rather than advocacy itself.

C. Collaboration with other team members is essential in providing holistic care but does not solely represent advocacy, which focuses more on the client's interests.

D. Supporting the client's needs is the core of advocacy, as it involves standing up for the client's rights, preferences, and well-being within the healthcare system.

Correct Answer is B

Explanation

A. Offering suggestions demonstrates a directive approach rather than a laissez-faire style, which typically involves minimal guidance.

B. Encouraging the AP to decide how they would like to divide client care tasks exemplifies laissez-faire leadership, as it empowers team members to make decisions independently.

C. Instructing the AP to report hourly indicates a more authoritarian leadership style, as it sets specific expectations for accountability.

D. Providing constructive criticism suggests active involvement in guiding the AP’s performance, contrasting with the hands-off approach of laissez-faire leadership.

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