NCLEX-PN Practice Q 34

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The nurse is caring for a client who is unconscious following a fall. Which comment by the nurse will help the client become reoriented when he regains consciousness?

  

     A. "I am your nurse and I will be taking care of you today."

     B. "Can you tell me your name and where you are?"

     C. "I know you are confused right now, but everything will be alright."

     D. "You were in an accident that hurt your head. You are in the hospital."

    

    

Correct Answer: D. “You were in an accident that hurt your head. You are in the hospital.”

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Option D: Telling the client what happened and where he is helps with reorientation.

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Option A: This does not explain what happened to the client.

Option B: This is not helpful because the client regaining consciousness will not know where he is.

Option C: The nurse should not offer false reassurances, such as “everything will be alright”.

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