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Practice Question

At the first dressing change, the practical nurse (PN) tells the client that her mastectomy incision is healing well, but the client refuses to look at the incision and refuses to talk about it. Which response by the PN to the client's silence is best?

Answer Choices:

Correct Answer:

"It's OK if you don't want to look or talk about the mastectomy. I will be available when you're ready."

Rationale:

✔️ This response acknowledges the client’s current emotional state and provides nonjudgmental support, which is essential in early stages of psychological adjustment following a mastectomy.

✔️ It respects the client's autonomy and timing, allowing space for her to process the body image changes and emotional impact at her own pace.

✔️ By stating availability without pressure, the nurse fosters a trusting therapeutic relationship, which is crucial for long-term emotional recovery and acceptance.

✔️ For many clients, initial avoidance is a normal coping mechanism, and the nurse’s role includes offering compassionate presence, not forcing confrontation with trauma prematurely.

Educational Insight

Post-mastectomy care involves both physical healing and emotional adaptation. Clients may grieve the loss of a breast as part of body image and identity. Therapeutic communication that emphasizes presence, patience, and emotional safety supports recovery better than direct persuasion or clinical redirection. Nurses must recognize stages of acceptance and be sensitive to emotional readiness.


Want to practice more questions like this?

This question is from HESI PN EXIT (IV) which contains 149 questions.

More Practice Questions
The practical nurse (PN) applies and then releases pressure to a client's fingernail as seen in the photo. Normal nail color returns in 2 seconds. Which action should the PN take?

Answer Choices:

A. Report abnormal findings to the charge nurse.
B. Observe for blanching of the nailbed.
C. Repeat the process with a different nailbed.
D. Document the capillary refill time.
In caring for a client who requires seizure precautions, the practical nurse (PN) should ensure the ready availability of equipment to perform which procedure?

Answer Choices:

A. Suction the trachea.
B. Insert a urinary catheter.
C. Apply soft restraints.
D. Insert a nasogastric tube.
The practical nurse (PN) is told that she keeps her 2-year-old child in a playpen so he will not get dirty. Which statement should the PN use in responding to this concern about using a playpen?

Answer Choices:

A. Overconcern about appearance can be harmful.
B. Playpens provide a sense of security for the child.
C. Playpens provide a safe environment for a toddler.
D. Children need time to actively explore their environment.
Prior to giving digoxin, the practical nurse (PN) assesses that a 2-month-old infant's heart rate is 120 beats/minute. Based on this finding, what action should the PN take?

Answer Choices:

A. Administer the medication and alert the charge nurse.
B. Hold the medication and document cardiac assessment.
C. Administer the medication and document the heart rate.
D. Hold the medication and recheck the heart rate in 1 hour.
From Exam
HESI PN EXIT (IV)

149 Questions

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Question Details
  • Category: LPN - Nursing Exam(s)
  • Subcategory: Exit Exams
  • Domain: HESI Exit - LPN
  • Answer Choices: 4
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