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Zorluk: OrtaHigh Risk Behaviors

An individual receiving care at an occupational health clinic mentions to the practical nurse, "I stopped wearing my fall-protection harness at the construction site. It is just too restrictive and limits my ability to move quickly." Which response by the nurse is the most appropriate?

  1. "Tell me more about how the harness restricts your movement while you are working."Cevap
  2. B
    "Why would you risk a dangerous fall just to work a little faster on the job?"
  3. C
    "I will perform a comprehensive workplace hazard analysis to revise your safety requirements."
  4. D
    "I must inform your site supervisor immediately because you are creating a hazardous environment."

Cevap

The most appropriate response is to ask the client to explain more about how the harness restricts their movement while working.
The correct response utilizes the therapeutic communication technique of exploring to gather more data about the client's high-risk behavior. This encourages open dialogue without judgment, allowing the nurse to understand the root cause of the non-compliance before collaborating with the registered nurse or provider on a focused safety teaching plan.

Adım Adım Çözüm

1
Identify the high-risk behavior presented by the client.
The client is actively choosing not to wear necessary fall-protection gear at a construction site, creating a severe safety risk.
Recognizing the risk is the first step in formulating a safe and effective nursing response.
2
Evaluate the nurse's immediate role and scope of practice regarding this behavior.
The practical nurse needs to gather more information about the barrier to compliance using therapeutic communication.
Before education or interventions can occur, the nurse must understand the root cause of the non-compliance without alienating the client.
3
Select the response that promotes dialogue and remains within the practical nursing scope.
Exploring the client's feelings about the restrictive harness gathers necessary data respectfully.
Open-ended, non-judgmental exploration builds trust and facilitates further health promotion teaching.

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High Risk Behaviors
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High Risk Behaviors

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