HESI RN Exit VI 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
A. The client is exhibiting fear and need for emotional support. Sitting at the bedside demonstrates presence, empathy, and support, which can help reduce anxiety and provide comfort while still allowing the nurse to perform necessary care. This action balances therapeutic support and patient safety. B. While physical touch is comforting, this may interfere with proper assessment and could pose a safety risk for both client and nurse. C. Telling the client to release the nurse's hand could be perceived as dismissive and may increase the client's anxiety. D. Reassuring the client that the nurse will return after taking the vital signs is supportive but does not provide immediate comfort, which the client is seeking in this critical moment.
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