HESI RN Exit Exam IV Proctored Exam
While taking vital signs, a critically ill male client grabs the nurse's hand and asks the nurse not to leave. What action is best for the nurse to take?
Explanation & Rationale
RationaleA. This response acknowledges the client's need for reassurance and informs them of the nurse's plan. However, it may not address the immediate need for comfort and connection expressed by the client.B. This response may come across as dismissive or insensitive to the client's emotional and psychological needs. It could potentially increase anxiety or distress in an already vulnerable client.C. Sitting beside the client demonstrates empathy and provides physical presence, which can be reassuring and comforting. However, it is not practical as the nurse has other duties to attend to.D. It addresses the patient's immediate emotional needs without compromising the nurse's ability to perform their duties.
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